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Coccidioidomycosis masquerading as disseminated tuberculosis

Coccidioidomycosis is a rare disease in India. However, in recent years, quite a significant number of cases have been reported. The increase is likely due to frequent visits to endemic regions outside India. It is because of the rarity of this disease that several times, it is misdiagnosed and left untreated. We present one such case which was mistaken for tuberculosis and put on anti-tuberculous therapy only to return with more widespread disease and no symptomatic relief.