### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am writing about my 14 year old son, who has been ill repeatedly 4 times for the past 7 weeks. He s been on antibiotics all 4 times, struggles to recover until his antibiotics are nearly gone, finally feels better for a few days and then gets it again. We are wondering if it is valley fever. Can that come with congestion/sinus symptoms? He s been diagnosed with sinus infections each time, but develops not only significant congestion/sinus symtpoms, but also chest pain, horrible coughing, fatigue, sore throat, and is miserable. He has faithfully taken not only strong antibiotics, but prescription strength cough syrup/decongestant, Flonase nasal spray, Zyrtec once a day, and breathing treatments up to 4 times a day, along with vitamin C and lots of fluids. He is otherwise very healthy, but his doctor is concerned that perhaps it is not really sinus infections he has had. I cannot find on the internet where there is a connection between congestion/sinus symptoms and Valley Fever - curious about that as others have asked if he has been tested for it. We live in Phoenix. As a young child he had repeated ear infections, but 4 years ago at age 10 he had his tonsils and adenoids removed, tubes in his ears, and a major sinus surgery. He has been very healthy ever since until now. Any ideas? Thank you verey much!

### output:

Hi, There are overlapping symptoms of recurrent sinus infections which can be a part of valley fever (fungal infection with coccidioidomycosis affecting lungs) or not. Specific attention to the tissue and organism evaluation with lab test of coccidioses antibodies, saliva and other fluids check-up for the same, lung biopsy, skin biopsy and X-ray with CT chest are further definite tools to proceed in this direction. Hope I have answered your query. Let me know if I can assist you further. 