“This image is of a patient with cutaneous (skin) coccidioidomycosis presenting as multiple papules on the face and neck. It is caused by the mold (fungus) Coccidioides immitis which is found commonly in the U.S. Southwest. It is highly infectious and can cause a serious fungal infection known as Coccidioidomycosis. Once it gets this bad, it normally results in the death of the patient.”