Cutaneous coccidioidomycosis: a great mimicker

Coccidioides immitis and C. posadassi. 1 2 The condition is endemic in the southwest USA, northern Mexico and parts of Central and South America. 3 Cutaneous coccidioidomycosis most frequently results from dissemination of a primary pulmonary infection, usually asymptomatic and self-limited, mainly in endemic areas, as in this patient. 1 Skin lesions vary widely and display diverse clinical and histological morphology. 3 Isolation of the fungus or histological identification is considered the gold standard to confirm the diagnosis of coccidioidomycosis.