Introduction: Coccidioidal meningitis (CM) is the most lethal form of disseminated coccidioidomycosis. Current guidelines recommend fluconazole as initial therapy but there has been a paucity of data regarding failure of fluconazole and optimal fluconazole dosage in the treatment of CM. We conducted this study to understand risk factors for fluconazole failure. https://www.roneverhart.com/Plastic-Gift-Boxes-Gold-5X4X3-5-6-Pack-Bakery-Boxes-With-Base-Lid-Ribbon/