Resumen

• Most symptomatic coccidioidal infections are mild to severe episodes of pneumonia caused by Coccidioides species.
• Extrapulmonary infection in sites such as skin, soft tissue, or skeletal or central nervous system occurs infrequently.
• Common symptoms include fever, headache, dry cough, myalgia, and arthralgia, and may be accompanied by a rash.
• Treatment ranges from close observation without medical treatment in mild cases, to medical therapy, primarily with azole antifungals in more severe episodes.
• Azole antifungal therapy is generally well tolerated, with few adverse events; alternative treatments are rarely required.