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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.
Valley Fever (Coccidioidomycosis) is primarily a disease of the lungs that is common in the southwestern United States and northwestern Mexico. It is caused by the fungus Coccidioides sp., which grows in soils in areas of low rainfall, high summer temperatures, and moderate winter temperatures.