Fulminant Superimposed Covid-19 Pneumonia on Coccidioidomycosis Disseminated Infection

Coronavirus Disease 2019 (COVID-19) is a novel virus with limited data regarding co-infection with fungal pathogens. A 35-year-old, immunocompetent, male with a past medical history of pulmonary coccidioides infection presented with worsening cough, shortness of breath and hemoptysis. Patient was found positive for COVID-19 via DNA PCR and Coccidioides reactivation via antibody testing. He had received treatment for Coccidioides infection previously, but it was unknown whether he finished it due to his lack of outpatient follow-up. Specifically for COVID-19, he was started on the standard 5-day course of Remdesivir, but he experienced rapid respiratory deterioration and ultimately died.