Coccidioidomycosis Erythema Nodosum
Also known as valley fever or desert rheumatism, coccidioidomycosis is a fungal disease commonly reported in the Western Hemisphere, especially South-western U.S. (mainly California, Arizona, and Texas), Northern Mexico, as well as parts of Central and South America (Chen, Lee & Li, 2010). In the U.S., estimates indicate that 150,000 people in the South-western region are infected every year (Garcia et al., 2015). As the disease is mainly concentrated in South-western U.S., its national prevalence remains unknown. The disease is commonly characterized by coughing, fever, shortness of breath, headaches, chest pain, night sweating, loss of weight, and erythema nodosum (Garcia et al., 2015). This paper reports a case of coccidioidomycosis characterized by erythema nodosum
Subjective
A 31-year-old Asian male visited his primary care doctor's clinic complaining of cough and malaise for two months. He had been a construction worker in Fresno County, California, for eleven months and the symptoms showed after he started work in Fresno County. He developed a temporary low-level fever; however, resisted night sweats, hemoptysis, as well as, headache. He was, however, positive for skin rashes characterized by painful red and brown bumps. The rashes were mostly on the lower limps, with a few on his chest, arms, and back. Some rashes appeared as raised red rashes with blisters or eruptions that looked like pimples. His previous medical record revealed no significant illnesses, and he did not smoke or take drugs.
Objective
No significant diagnostic studies had previously been done on the patient. Nonetheless, inspection, palpation, percussion, and auscultation were conducted to examine all systems associated with the patient's complaint. Percussion involved examining the condition of the thorax and the abdomen, while auscultation was done using a stethoscope, particularly focusing on the circulatory and respiratory systems. Following percussion, no solid mass or hollow structure was detected on the patient's thorax and abdomen. Auscultation, however, revealed some unusual sounds in the chest.
Coccidioidomycosis occurs in a variety of clinical forms, ranging from...
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