• Symptomatic endemic fungal infections generally present as persistent and sometimes progressive pneumonia accompanied by fever, chills, cough, arthralgias, night sweats, and weight loss that is indistinguishable from other chronic infections such as pulmonary tuberculosis.

• The diagnosis of endemic fungal infection is often prompted by a patient history of a prolonged infectious symptoms, travel or residence in an endemic area, and/or participation in activities that result in exposures to soil contaminated by endemic fungi.

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