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Article
October 5, 1929

COCCIDIOIDAL GRANULOMA: AN EPIDEMIOLOGIC SURVEY, WITH A REPORT OF TWENTY-FOUR ADDITIONAL CASES

Author Affiliations

SAN FRANCISCO; BAKERSFIELD, CALIF.; BALTIMORE

From the Southern Pacific General Hospital, the Kern General Hospital and the Maryland State Department of Health.

JAMA. 1929;93(14):1046-1049. doi:10.1001/jama.1929.02710140012005
Abstract

The subject of coccidioidal disease merits serious consideration because of its high mortality, the unknown method of its transmission, and its close resemblance clinically and pathologically to tuberculosis. Its toll of less than 200 lives within a period of thirty-seven years does not depreciate the situation, owing to the geographic concentration of the disease.

Infection appears to have been acquired in California in a little more than 80 per cent of the cases. Other individuals were infected apparently in Washington, Arizona, New Mexico, Colorado, Kansas, Nebraska, Missouri, Illinois, South Carolina, Pennsylvania, Argentina and Brazil. One case of possible laboratory infection has been reported. Cases 99 to 122 are now being presented as hitherto unpublished cases.

TABULAR PRESENTATION OF CASES  In tables 2, 3 and 4, age and sex distribution, nationality and occupation are presented. It is unfortunate that the type of laborer was not stated in each instance in the

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