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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.
1 Coccidioidal meningitis is a severe complication of coccidiomycosis (valley fever), a common fungal infection in the southwestern U.S. The primary disease is caused by the inhalation of the Coccidioides soil fungal spores, leading to predominantly respiratory symptoms.