Coccidioidomycosis; disseminated

Treatment:

Bedrest and supportive treatment, especially improved nutrition, are indicated. Antifungal medications are prescribed to treat the infection. Amphotericin B is given intravenously over several weeks. In meningitis, intrathecal therapy (delivered into the spinal column) is necessary. Ketoconazole may be used for disease that does not involve the meninges. Fluconazole or itraconazol are other antifungal medications that may be used.

Expectations (prognosis):

People with disseminated disease have a high death rate. The course may be rapid for immunosuppressed patients.

Complications:

This can be a fatal disorder.

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of disseminated coccidioidomycosis develop.

Updated Date: 02/09/00

Updated By:J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial