A Case of Systemic Blastomycosis

Abstract

Case XXVII (9).\p=m-\History.\p=m-\S.C., an Italian laborer, aged 31, was admitted to the Cook County Hospital Jan. 11, 1909, to the service of Dr. Ormsby. Through an interpreter it was learned that he had been sick for three months. He suffers from persistent cough which is productive of a purulent, often bloodtinged, mucus. The appetite had been poor and emaciation rapid. Since the onset of his illness numerous cutaneous ulcers and subcutaneous abscesses have

Clinical aspects of blastomycosis

“…If the prostate is involved it may be found to be enlarged, boggy and slightly tender. Renal blastomycosis may occur as isolated genitourinary disease with granulomatous and/or necrotic suppurative lesions in either the cortex or the medulla (Stober, 1914) or may be associated with prostatic infection (Baum and Schwarz, 1959;Bechtel and LeCount, 1914;Krost, Stober, and Moes, 1914;Riley and LeCount, 1914;Eisentaedt and Boughton, 1914).…”

“…The central nervous system is involved by haematogenous dissemination. Meningitis, meningo-encephalitis, transverse myelitis, cerebral or cerebellar abscesses, and epidural abscess have all been described (Martin and Smith, 1939;Wade and Bel, 1916;Stober, 1914;Riley and LeCount, 1914;Craig, Dockerty, and Harrington, 1940;Friedman and Signorelli, 1946;Greenwood and Voris, 1950;Myers and Stober, 1914). The incidence varies from 3 75% (Cherniss and Waisbren, 1956) to 10% (Baum and Schwarz, 1959) and as a general rule the prognosis is poor.…”