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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 (/ k É k Ë s Éª d i ÉÉª d oÊ m aÉª Ë k oÊ s Éª s /, kok-sid-ee-oy-doh-my-KOH-sis), commonly known as cocci, Valley fever, as well as California fever, desert rheumatism, and San Joaquin Valley fever, is a mammalian fungal disease caused by Coccidioides immitis or Coccidioides posadasii.