Disseminated coccidioidomycosis as a harbinger of climate change

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Disseminated coccidioidomycosis as a harbinger of climate change Sarah J. Coates, MD, Lindy P. Fox, MD JAAD Case Reports Volume 4, Issue 5, Pages 424-425 (June 2018) DOI: 10.1016/j.jdcr.2017.11.017 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A and B, Discrete, tender erythematous papulonodules with central umbilication and dusky center suggestive of necrosis. JAAD Case Reports 2018 4, 424-425DOI: (10.1016/j.jdcr.2017.11.017) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Tender 1.5-cm erythematous nodule with a dusky center located on right superior shoulder. JAAD Case Reports 2018 4, 424-425DOI: (10.1016/j.jdcr.2017.11.017) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Periodic acid–Schiff–diastase–positive organisms with large capsules packed with endospores, consistent with a diagnosis of disseminated coccidioidomycosis. JAAD Case Reports 2018 4, 424-425DOI: (10.1016/j.jdcr.2017.11.017) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions