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Report of a Case

BERNARD HYDE, M.D.; LEROY HYDE, M.D.

Arch Intern Med. 1949;83(5):505-514.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

COCCIDIOIDOMYCOSIS is a fungous disease endemic to large areas of the southwestern United States. Chlamydospores, the infectious "vegetative" form of Coccidioides immitis, enter the body through the respiratory tract and develop into doubly refractile spherules, which reproduce by endosporulation. Infection through the skin is rare but has been reported.¹ The primary pulmonary infection is usually asymptomatic, localized and self limited. The usual course is uncomplicated healing of the primary focus with fibrosis and occasionally cacification. The only evidence of infection may be a positive reaction of the skin to coccidioidin injected intradermally. Dr. Charles E. Smith, in an excellent summary (1947), noted that the initial primary infection is nearly always pulmonary and well focalized. Sixty per cent of infections are asymptomatic and are recognizable only by the development of sensitivity to coccidioidin. Another type produces symptoms of an infection of the upper respiratory tract or of influenza. The fungus may be found in the sputum, . . . [Full Text PDF of this Article]

Author Affiliations
Instructor in Diseases of the Chest, College of Medical Evangelists LOS ANGELES; Chief, Nontuberculous Thoracic Section, Birmingham Veterans Administration Hospital VAN NUYS, CALIF.

From the Chest Service, Bellevue Hospital, New York.

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