Divergence in the approach to tumor necrosis factor α-inhibitor recipients with coccidioidomycosis

Background Tumor necrosis factor α-inhibitors (TNFIs) have been associated with increased risk of certain fungal infections, including coccidioidomycosis. The optimal treatment approach to coccidioidomycosis in TNFI recipients is unknown. Methods We constructed an anonymous, voluntary survey for practicing pulmonary and infectious disease physicians in the state of Arizona regarding approach to TNFI patients with coccidioidomycosis. Results There is no current consensus on managing these patients. Conclusions Further research is necessary to determine the optimal approach to TNFI recipients with coccidioidomycosis.