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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.
Coccidioidomycosis, commonly called valley fever, is a fungal infection of the lungs that can cause very serious problems. The fungus is found in the soilâmost commonly in the southwestern United States, Mexico, and parts of Central and South America. The fungus can also affect other parts of the body besides the lungs, but it is then called disseminated valley fever.