Valley Fever Evaluation
The evaluation of coccidioidomycosis will begin with a history and physical examination.
Physical findings in someone with coccidioidomycosis may include:
- Enlargement of the liver
- Enlargement of the spleen
- Erythema nodosum:
- Hyperreflexia (increased reflexes)
- Rapid heart rate
- Rapid respiratory rate
The diagnosis of coccidioidomycosis is confirmed by tissue biopsy or by culturing the fungus from sputum, a wound, or joint fluid.
Tests that may be used to evaluate coccidioidomycosis include:
- Serologic tests for antibodies are available but may take weeks to come back.
- Coccidioidomycosis skin test
- This test turns positive at 3 weeks to 3 months after exposure.
- Complete blood count
- Chest x-ray
- Pulse oximetry
- Blood cultures
- Sputum culture
- Rapid influenza testing
- Urine antigen testing for pneumococcus or Legionella
Less commonly used tests that may be used to evaluate coccidioidomycosis include:
Continue to Valley Fever Treatment
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- Ampel NM. Introduction. Symposium on coccidioidomycosis. Semin Respir Infect. 2001 Dec;16(4):229-30. 
- Chang A, Tung RC, McGillis TS, Bergfeld WF, Taylor JS. Primary cutaneous coccidioidomycosis. J Am Acad Dermatol. 2003 Nov;49(5):944-9. 
- Deresinski SC. Coccidioidomycosis: efficacy of new agents and future prospects. Curr Opin Infect Dis. 2001 Dec;14(6):693-6.