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.spidertattooz.com/AleSmith-Beachwood-Tower-of-Flower-IPA-Collaboration-4pk-16oz/