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COCCI PROFILE (CBC, CHEMISTRY, T4, COCCI TITER)
Based on presentation and clinical signs, radiographs, and CT may be indicated. However, bloodwork tends to be important in making the diagnosis. The Valley Fever Titer is not always positive.
TRIAL OF FLUCONAZOLE
A trial of fluconazole should be considered in symptomatic patients based off of blood work results. If patient shows improvement during the trial of fluconazole, treat the patient as a Valley Fever patient regardless of titer results.
TREATMENT PLAN
After 30 days of treatment blood work will be ran to look for changes in liver values and white blood cells. These values will help us determine severity of the disease, future dosing, additional medications needed, and possible duration of treatment.
In 3-4 months, your doctor may perform recheck of the blood work and Cocci (Valley Fever) titer. Blood work will be repeated to monitor values every 4-6 months moving forward. Valley Fever treatment can range anywhere from 6 months or longer. Treatment is discontinued when there are no changes in the titer (1:4 or below) for 2 consecutive blood tests in conjunction with a normal CBC and globulins or one or two years with no symptoms. Your doctor will recommend a recheck Cocci (Valley Fever) titer 3 months after discontinuing Fluconazole, to make sure that it is not returning.