<s>[INST] I had valley fever in 2009 soon after moving to Arizona I was 68 years old and had taken Enbrel years earlier as well as steroids. I took fluconasole for one year until I moved back to Oregon. My question is if I could be safe if I moved back to Arizona. I will be 76 next month and have giant cell arteritis which has necessitated large doses of steroids for the past 7 months. What do you think or know about my chances of relapse for valley fever? Thank you so very much! E-mail ( YYYY@YYYY ) 503-577-7861 Ruth Anderson [/INST] Hi, Thanks for the query. I understand your concern Old age & immune compromised persons (here you are on steroids) are more prone to catch Valley fever .more so over summer days. Fluconazole has its action only till it is consumed. During those days it takes care of infecting fungi... it is not likely to be active after all these years you had been out of the Arizona. So you have to have fresh efforts to avoid it in your future visit.  Considering your age/ more possibilities to catch infection due to steroids you have been taking.(making you more prone to infection)... you should avoid shifting to Arizona.  If you must. You have to take full precautions to avoid exposure to spores of the fungus causing this fever -specially in summer when the incidence is more.... like... Wearing mask/ closing doors & window tightly closed/ Avoiding going out in storms. Taking antioxidants to keep immunity up./ Chat Doctor.  Thanks </s>