Ramadan et al studied patients with coccidioidomycosis for clinical or laboratory findings that can aid in diagnosis. The diagnosis of coccidioiodomycosis can be challenging. The authors are from the University of Arizona and George Washington University.
Patient selection: coccidioidomycosis in Arizona
Clinical predictors for outpatients from multivariate analysis:
(1) skin rash
(2) elevated absolute eosinophil count
Clinical predictors for inpatients from multivariate analysis:
(1) muscle aches
(2) elevated absolute eosinophil count
Non-white race may be an additional predictor
Skin rash was seen in 37% of patients with coccidioidomycosis vs 13% of negatives.
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