ACUTE BLASTOMYCOTIC PNEUMONIA

Autor: Lowell H. Steen, Lyle A. Baker, Donald T. Foxworthy
Rok vydání: 1954
Předmět:
Zdroj: A.M.A. Archives of Internal Medicine. 93:464
ISSN: 0888-2479
Popis: MANY CASES of blastomycosis of short duration have been recorded in which pulmonary involvement and distant hematogenous spread to the brain, bones, and skin were demonstrable.* Few cases with disease limited to the lung have been reported. The following case of pulmonary blastomycosis is unusual because of its rapid fulminating course with limitation to the lung proper and because of the failure of usual laboratory techniques to establish a diagnosis. Clinicians who saw the patient during his hospitalization were about equally divided into those who thought that the widespread pulmonary disease represented a rampant neoplastic process and others who believed that the condition was infectious. Only after a needle biopsy of the lung did the true etiology become apparent. REPORT OF A CASE A 36-year-old Negro male foundry worker entered the Veterans Administration Hospital, Hines, Ill., on Feb. 13, 1953, with complaints of chills, fever, cough, and weakness. Two months
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