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Disseminated coccidioidomycosis is a disease caused by  Coccidioides  species, fungi endemic to the southwestern United States. We present here an uncommon case of a young child with erythema nodosum and fever of unknown origin, found to have the infection. While more common in adults, coccidioidomycosis should be considered in all patients with erythema nodosum.

Disseminated Coccidioidomycosis Presenting as Fever of Unknown Origin and Erythema Nodosum in a 3-Year-Old Child