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A 45-year-old HIV-positive patient (CD4 count 180 cells/µL) from San Joaquin Valley presents with erythema nodosum, arthralgias, and bilateral hilar adenopathy. Coccidioides serology shows IgM positive, IgG negative. He is asymptomatic except for joint pain and skin lesions. He is on antiretroviral therapy with undetectable viral load. Evaluate the clinical presentation and synthesize the appropriate management decision considering immune status and disease manifestations.
Blastomyces dermatitidis
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Coccidioides immitis/posadasii
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Clinical presentations of dimorphic fungal infections
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Diagnostic approaches for dimorphic fungi
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Treatment of dimorphic fungal infections
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