[Interpretation of clinical and serologic findings--1 1/2 years after a long-term coccidioidomycosis].

A 46-year-old soldier of the German airforce stayed in Texas/USA for 6 months. Without clinical complaints the patient revealed nodular lung infiltration and a cavern on a routine-chest-X-ray examination after his return. Serological, cytological, and histological examinations excluded a sarcoidosis, tuberculosis of the lungs and a neoplasm. The finding of precipitating antibodies and a positive skin reaction against coccidioidin led to the diagnosis of a primary pulmonary, spontaneously healed coccidioidomycosis, which did not need any antimycotic therapy.