<s>[INST] I live in Tucson AZ and had valley fever about 15 years ago.  One of my symptoms was vertigo.  I now am having symptoms of vertigo (if I look up on straight down).  I also had a red, bumpy rash (not itchy) on the front of my legs below the knees.  I also feel fatigued, and malaise.  Could I have valley fever again?  I've heard you can get it again. [/INST] Hi I did review your concern. Tucson AZ is place where valley fever can occur. It is caused by Coccidiodomitis fungi. It generally presents as respiratory disease with fever.Vertigo is generally not seen with this infection. If you are experiencing vertigo I would recommend you to get yourself evaluated. Vertigo can occur due to inner ear or cerebellar or heart issues(light headedness). A neurologist needs to investigate your condition for that. The bumpy rash below your knee can be a manifestation of valley fever known as erythema nodosum. It can be confirmed by a punch biopsy.I hope this helps.Let me know if you have any more questions or concerns.wish you a very healthy life ahead. </s>