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A fungal infection caused by Coccidioides immitis. Affected individuals usually have mild flu-like symptoms. However, pneumonia and systemic involvement with the formation of abscesses may develop as complications of the disease.
Features include common findings: Fever, Pneumonia, Immunodeficiency, and Increased circulating IgG concentration and others; and sometimes findings: Nervous system problems (abnormality of the nervous system), Atypical scarring of skin, Skin rash, and Pruritus and others. 76 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Nervous system problems (abnormality of the nervous system), Fatigue, Hydrocephalus |
Biomarker and diagnostic research for coccidioidomycosis has been reported in the published literature.
No approved treatments are currently available for coccidioidomycosis. An additional 6 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for coccidioidomycosis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for coccidioidomycosis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 5 common features.
Estimated prevalence: Unknown (Unknown prevalence).
8 clinical trials registered, 2 recruiting. Interventions under study include drug therapy, other interventions, and biologic therapy. Pipeline includes 4 PHASE2, 1 PHASE1, 1 NA. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06925919](https://clinicaltrials.gov/study/NCT06925919) |
Data assembled from 6 of 12 sources · Last updated Oct 4, 2026, 12:14 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Skin | 10 | Atypical scarring of skin, Skin rash, Pruritus |
Lungs and breathing | 5 | Pneumonia, Respiratory distress, Pulmonary infiltrates |
Bones and joints | 5 | Joint inflammation (arthritis), Abnormality of the vertebral column, Bone infection (osteomyelitis) |
Blood and immune system | 3 | Immunodeficiency, Abnormality of blood and blood-forming tissues, Vasculitis |
Kidneys and urinary system | 3 | Abnormality of the kidney, Reduced kidney function (renal insufficiency), Abnormality of the genitourinary system |
Digestive system | 3 | Abnormality of the liver, Pancreatitis, Spleen abnormalities (abnormality of the spleen) |
Lab test results | 2 | Increased circulating IgG concentration, Increased CSF protein concentration |
Heart and blood vessels | 2 | Chest pain, Pericarditis |
Eyes | 2 | Abnormal retinal morphology, Blurred vision |
Metabolism | 1 | Fever |
Muscles | 1 | Myalgia |
Ears | 1 | Hearing loss (hearing impairment) |
Hormones | 1 | Abnormality of the endocrine system |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
itraconazole | itraconazole | Mayne Pharma International Pty Ltd. c/o Mayne Pharma Inc. | 2020 | — | Designated |
olorofim | olorofim | F2G Limited | 2020 | — | Designated |
fosmanogepix | fosmanogepix | Basilea Pharmaceutica Ltd, Allschwil | 2016 | — | Designated |
selective inhibitor of fungal CYP51 | selective inhibitor of fungal CYP51 | NQP 1598, Ltd. | 2016 | — | Designated |
coccidioidin SD Skin Test Antigen | coccidioidin SD Skin Test Antigen | Allermed Labortories, Inc. | 2007 | — | Designated (drug approved for other indication) |
Nikkomycin Z | Nikkomycin Z | Valley Fever Center for Excellence (1-111 INF) | 2006 | — | Designated |
olorofim is referenced in active clinical trials for coccidioidomycosis (designated 2020).
Gene therapy approaches for coccidioidomycosis have been reported in the published literature.
8 trials found
Study to Evaluate Safety, Tolerability and Pharmacokinetics of IDB-011 |
PHASE1 |
IDBiologics, Inc. |
ACTIVE_NOT_RECRUITING |
[NCT06913803](https://clinicaltrials.gov/study/NCT06913803) | To Find Effectiveness of Stretching Versus Soft Tissue Mobilization in Coccydynia in Postpartum Females | NA | Superior University | UNKNOWN |
[NCT06799234](https://clinicaltrials.gov/study/NCT06799234) | Safety and Immunogenicity of a Candidate Rift Valley Fever Vaccine (RVF003) | PHASE2 | University of Oxford | ACTIVE_NOT_RECRUITING |
[NCT07358910](https://clinicaltrials.gov/study/NCT07358910) | Risk Assessment of Community Spread of Multiple Endemic Infectious Diseases in a One Health Perspective | — | Institut Pasteur du Cambodge | RECRUITING |
[NCT02190266](https://clinicaltrials.gov/study/NCT02190266) | Pathogenesis and Genetics of Disseminated or Refractory Coccidioidomycosis | — | National Institute of Allergy and Infectious Diseases (NIAID) | UNKNOWN |
315 publications have been identified in PubMed for coccidioidomycosis. Research spans Case Report / Case Series (28%), Epidemiology / Natural History (28%), and Review / Meta-Analysis (15%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 73 | 28% |
Disease patterns and progression | 72 | 28% |
Research summaries | 38 | 15% |
Laboratory research | 35 | 14% |
Testing and diagnosis research | 22 | 9% |
Clinical study results | 9 | 3% |
Other research | 5 | 2% |
New treatment approaches | 4 | 2% |
Sivasubramanian G (2026). [PMID: 42238057](https://pubmed.ncbi.nlm.nih.gov/42238057/). *Lancet Reg Health Am*. [Epidemiology / Natural History]
Barber DD (2026). [PMID: 42116233](https://pubmed.ncbi.nlm.nih.gov/42116233/). *Emerg Infect Dis*. [Diagnostic / Biomarker]
Nguyen CT (2026). [PMID: 42118063](https://pubmed.ncbi.nlm.nih.gov/42118063/). *Med Mycol*. [Basic Science / Preclinical]
Szeto CH (2026). [PMID: 42230324](https://pubmed.ncbi.nlm.nih.gov/42230324/). *Emerg Infect Dis*. [Epidemiology / Natural History]
Segovia-Mota JP (2026). [PMID: 41986936](https://pubmed.ncbi.nlm.nih.gov/41986936/). *Emerg Infect Dis*. [Basic Science / Preclinical]
Ríos-Burgueño ER (2026). [PMID: 41660158](https://pubmed.ncbi.nlm.nih.gov/41660158/). *Med Mycol Case Rep*. [Case Report / Case Series]
Haug LP (2026). [PMID: 41610037](https://pubmed.ncbi.nlm.nih.gov/41610037/). *Radiographics : a review publication of the Radiological Society of North America, Inc*. [Review / Meta-Analysis]
Sivasubramanian G (2026). [PMID: 41568976](https://pubmed.ncbi.nlm.nih.gov/41568976/). *Clin Infect Dis*. [Epidemiology / Natural History]
Lee IE (2026). [PMID: 41231261](https://pubmed.ncbi.nlm.nih.gov/41231261/). *Pathologie (Heidelberg, Germany)*. [Case Report / Case Series]
Benedict K (2026). [PMID: 41533376](https://pubmed.ncbi.nlm.nih.gov/41533376/). *JAMA network open*. [Other]
AI-curated news mentioning coccidioidomycosis
Updated Jul 28, 2026
A recent study highlights an atypical presentation of skeletal coccidioidomycosis in pediatric patients, expanding the understanding of this rare fungal infection. This research may inform future diagnostic and treatment approaches for affected children.
A recent study explores neonatal management and outcomes for infants born to mothers with disseminated coccidioidomycosis during pregnancy. The findings contribute to understanding the implications of this rare fungal infection on neonatal health.
Recent research highlights the presence of exhausted T cell phenotypes in patients with disseminated coccidioidomycosis. This study provides insights into the immune response mechanisms involved in this rare fungal infection.
A report highlights regional increases in the incidence of Valley fever in Arizona from 2005 to 2022, indicating a growing public health concern. This trend may prompt further advocacy and awareness efforts among patient organizations.