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Symptoms of primary coccidioidomycosis, in decreasing order of frequency, include fever, cough, chest pain, chills, sputum production, sore throat, and hemoptysis. Physical signs may be absent or limited to scattered rales with or without areas of dullness to percussion over lung fields.
The neuropsychiatric adverse effects of. corticosteroids are complex, unpredictable, and often se-. vere, ranging across most categories of psychopathology.4. Mood lability, anxiety symptoms, cognitive impairments, behavioral disturbances, or psychotic features can present. alone or in combination.