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Desert Rheumatism in a Returning Traveler

Khurshid, Khawar MD; Ghitan, Monica MD; Lin, Yu MD; Chapnick, Edward MD

Infectious Diseases in Clinical Practice: July 2014 - Volume 22 - Issue 4 - p e42–e43
doi: 10.1097/IPC.0b013e3182948d34
Case Reports

Desert rheumatism is a common phenomenon in endemic regions. It is also known as “Valley fever,” “California fever,” and “San Joaquin Valley fever.” It is described as a triad of fever, erythema nodosum, and arthralgias and is caused by Coccidioides species. Coccidioides-related infections are commonly seen in southwest areas of United States, Mexico, and Latin America. Coccidiomycosis outside the endemic regions is not common and its diagnosis often delayed. We report a case of a 29-year old immunocompetent female who presented with desert rheumatism after a travel to an endemic region.

From the Maimonides Medical Center, Division of Infectious Diseases, Department of Medicine, Brooklyn, New York.

Correspondence to: Khawar Khurshid, MD, 4719 Fort Hamilton Parkway, Brooklyn, New York 11219. E-mail:

The authors have no funding or conflicts of interest to declare.

© 2014 by Lippincott Williams & Wilkins.