Extrapulmonary nonmeningeal coccidioidomycosis

Extrapulmonary nonmeningeal coccidioidomycosis (ENC) is a relatively rare disease that accounts for fewer than 1% of all cases of coccidioidomycosis. ENC may present early (in the setting of acute pulmonary coccidioidomycosis with dissemination) or late (after an innocuous primary infection). The most common site of involvement is the skin, but other sites include bones, joints, and soft tissues. We describe the case of a young African American woman with ENC who presented with an iliopsoas abscess and lumbar vertebral osteomyelitis.