Initial presentation of coccidioidomycosis during inguinal herniorrhaphy.

Coccidioidomycosis is a fungal infection endemic to the desert regions of the southwestern United States. Pulmonary symptoms predominate and are usually mild and self-limited. Dissemination is rare in the immunocompetent host. We present a case of disseminated, peritoneal coccidioidomycosis diagnosed during routine inguinal herniorrhaphy in an adult male. The current literature is summarized, and management recommendations are suggested.