title: 2016 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for the Treatment of Coccidioidomycosis.
abstract: It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. Infectious Diseases Society of America considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.Coccidioidomycosis, also known as San Joaquin Valley fever, is a systemic infection endemic to parts of the southwestern United States and elsewhere in the Western Hemisphere. Residence in and recent travel to these areas are critical elements for the accurate recognition of patients who develop this infection. In this practice guideline, we have organized our recommendations to address actionable questions concerning the entire spectrum of clinical syndromes. These can range from initial pulmonary infection, which eventually resolves whether or not antifungal therapy is administered, to a variety of pulmonary and extrapulmonary complications. Additional recommendations address management of coccidioidomycosis occurring for special at-risk populations. Finally, preemptive management strategies are outlined in certain at-risk populations and after unintentional laboratory exposure.
authors.affiliation: Valley Fever Center for Excellence.
authors.forename: John N
authors.initials: JN
authors.lastname: Galgiani
authors.affiliation: Division of Infectious Diseases, University of Arizona, Tucson.
authors.forename: Neil M
authors.initials: NM
authors.lastname: Ampel
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Scottsdale, Arizona.
authors.forename: Janis E
authors.initials: JE
authors.lastname: Blair
authors.affiliation: Division of Pulmonary and Critical Care, University of California, San Diego.
authors.forename: Antonino
authors.initials: A
authors.lastname: Catanzaro
authors.affiliation: Department of Pediatrics, Infectious Diseases, Stanford University School of Medicine, California.
authors.forename: Francesca
authors.initials: F
authors.lastname: Geertsma
authors.affiliation: Division of Sanford Health, Sioux Falls, South Dakota.
authors.forename: Susan E
authors.initials: SE
authors.lastname: Hoover
authors.affiliation: David Geffen School of Medicine at UCLA, Department of Medicine, Kern Medical Center, Bakersfield, California.
authors.forename: Royce H
authors.initials: RH
authors.lastname: Johnson
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Scottsdale, Arizona.
authors.forename: Shimon
authors.initials: S
authors.lastname: Kusne
authors.affiliation: Department of Rheumatology, University of Arizona, Tucson.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lisse
authors.affiliation: Department of Neurosurgery School of Medicine, University of Utah, Salt Lake City.
authors.forename: Joel D
authors.initials: JD
authors.lastname: MacDonald
authors.affiliation: Division of Thoracic Surgery, Northwestern University, Feinberg School of Medicine.
authors.forename: Shari L
authors.initials: SL
authors.lastname: Meyerson
authors.affiliation: Division of Neurosurgery, John H. Stroger Jr Hospital of Cook County, Chicago, Illinois.
authors.forename: Patricia B
authors.initials: PB
authors.lastname: Raksin
authors.affiliation: Arizona Pulmonary Specialists, Ltd, Phoenix.
authors.forename: John
authors.initials: J
authors.lastname: Siever
authors.affiliation: Division of Infectious Diseases, Stanford University School of Medicine, California.
authors.forename: David A
authors.initials: DA
authors.lastname: Stevens
authors.affiliation: Career Epidemiology Field Officer Program, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention Maricopa County Department of Public Health.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Sunenshine
authors.affiliation: Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Theodore
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D055552:Infectious Disease Medicine / Q000458:organization & administration; D014481:United States
chemical_list: D000935:Antifungal Agents
keywords: antifungal treatment; coccidioidomycosis; community acquired pneumonia; immunocompromised patients; travel history