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January 18, 1908


JAMA. 1908;L(3):184-188. doi:10.1001/jama.1908.25310290020002d

The subject of blastomycosis is rapidly gaining the attention of the medical profession, and recognized cases of cutaneous infection are now comparatively common. Greater attention is now being given to the more rare systemic forms of the disease and the varied clinical and pathologic manifestations.

The following case adds not only to our general knowledge, but presents a few additional features of unusual interest:

Patient.  —M. L., aged 42, married, native of Poland, laborer by occupation, had lived in United States four years. He was admitted to the Cook County Hospital April 8, 1907, and assigned to the service of Dr. Loeb as a case of acute articular rheumatism. No history having been obtained at that time, this diagnosis was made by the examining physicians because of the obvious swelling of the hand and foot.

History.  —After admittance to the ward, the following history was obtained with the aid of

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