Correct!
1. Coccidioidomycosis

All of these diseases can be associated with a rash. Of those listed a drug-induced rash would probably be most common. However, the rash combined with the pneumonia and the patient's Arizona residence is highly suggestive for coccidioidomycosis or Valley fever. The rash associated with Valley fever is most often described as a painful rash over the shins and is associated with a number of lung diseases, most commonly sarcoidosis. However the rash can be seen in other areas and does not necessarily have to be painful. There was a recent outbreak of measles which originated from an infected patient at Disneyland. Rocky Mountain spotted fever is very rare in the Southwest. Neither are likely in this clinical situation.

Which of the following is true regarding coccidioidomycosis? (Click on the correct answer to proceed to the fourth and last panel)

1. Coccidioidomycosis is a rare cause of pneumonia in Arizona
2. Coccidioidomycosis should be treated immediately with amphotericin B
3. Coccidioidomycosis should be treated immediately with fluconazole
4. The rash associated with coccidioidomycosis is called erythema nodosum
5. The rash is secondary to cutaneous infection with Coccidioides immitis or posadasii

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