1. Symptomatic coccidioidomycosis has a wide clinical spectrum, ranging from mild influenza-like illness to serious pulmonary disease to widespread dissemination.

2. This pulmonary infection is due to Coccidioidomycosis, as evidenced by the two large spherules filled with endospores.

3. Bilateral cervical adenopathy is also prominent in tuberculosis coccidioidomycosis infectious mononucleosis toxoplasmosis sarcoid lymphomas and leukemias.

4. This pulmonary infection is due to Coccidioidomycosis asby the two large spherules filled with endospores.

5. It may also be seen in tuberculosis, sarcoidosis, histoplasmosis, coccidioidomycosis, blastomycosis, ulcerative colitis, and with use of some medications.

6. The FDA also has received reports of cases of coccidioidomycosis and blastomycosis, including deaths, in patients treated with TNF blockers.