<s>[INST] I had valley fever causing a whole in my lung I was treated with Difuclan for 3 years. I had a lobectomy in 2005, lately my symptoms are coming back I am tired short of breath and my knees are swollen and stiff. Can I get Valley Fever again? If so how likely is it? [/INST] Hi thanks for contacting Chat Doctor... Valley fever is fungal infection of resp tract. You might be from United States ... As this infection prevalent there.... It is coccidiomycosis and infection acquire through inhalation of infected spores of fungus. You might have this time valley fever like infection or obstructive pulmonary disease. Chest x-ray and spirometry done for detection of cause .... If needed sputum examination useful... If confirmed antifungal Chat Doctor. ... Hope your concern solved. Consult physician for your condition Take care. </s>