Coccidioidomycosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2]
Physical Examination
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as[2]
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Abdominal
- Abdomen soft and non-distended with no scars or striations
- No pulsatile masses or abdominal bruits ascultated
- Spleen not palpable, liver not palpable
Skin
- Ulcerative lesions that bleed easily
- Verrucous lesions with irregular border and variegated appearance
Bone and joints
- Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
- Arthritis can cause reproducible pain in joints.
Genitourinary system
Extremities
- Ulcers that bleed on touch
Neurological
Normal examination finding unless the infection is disseminated to brain resulting in meningitis,then findings include :
Gallery
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![Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [3]](/images/b/b2/Coccidioidomycosis28.jpeg)
Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [3]
-
![Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [3]](/images/3/32/Coccidioidomycosis03.jpeg)
Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [3]
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![Large red spot formed at volar surface of patient's left arm, indicating a positive result to a skin test to determine whether patient was exposed to the Coccidioides spp. fungal organism. From Public Health Image Library (PHIL). [3]](/images/f/f7/Coccidioidomycosis01.jpeg)
Large red spot formed at volar surface of patient's left arm, indicating a positive result to a skin test to determine whether patient was exposed to the Coccidioides spp. fungal organism. From Public Health Image Library (PHIL). [3]
![Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [3]](/index.php/File:Coccidioidomycosis28.jpeg)
![Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [3]](/index.php/File:Coccidioidomycosis03.jpeg)
![Large red spot formed at volar surface of patient's left arm, indicating a positive result to a skin test to determine whether patient was exposed to the Coccidioides spp. fungal organism. From Public Health Image Library (PHIL). [3]](/index.php/File:Coccidioidomycosis01.jpeg)
References
- ↑ Smith JA, Gauthier G (2015). "New Developments in Blastomycosis". Semin Respir Crit Care Med. 36 (5): 715–28. doi:10.1055/s-0035-1562898. PMID 26398538.
- ↑ Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.
- ↑ 3.0 3.1 3.2 "Public Health Image Library (PHIL)".