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March 1960

Coccidioidal Granuloma After Treatment with Amphotericin B: Report of a Case

Author Affiliations

Tucson, Ariz.

Department of Pediatrics, Tucson Clinic (Dr. Kimberling).

AMA Arch Derm. 1960;81(3):373-377. doi:10.1001/archderm.1960.03730030031004

The treatment of coccidioidomycosis has been, until recently, very unsatisfactory, but with the introduction of antifungual drugs such as amphotericin B,* the outlook in disseminated and local coccidioidomycosis appears less grave. In the following case report, a 9-year-old Papago Indian boy was first diagnosed and proven by biopsy in January, 1953, to have coccidioidal granuloma. Different modalities were used with varying degrees of success. Amphotericin B was started on March 3, 1958, and continued for one year. During the past three months, without therapy, the boy has had no recurrence of his lesions and his titer, though still increased, is diminishing slow

Report of Case  The patient, at 3 years of age, was admitted to the San Xavier Indian Hospital, Tucson, Ariz., in January, 1953, with weeping lesions on the scrotum, gluteal fold, and about the arms. He was transferred to the Phoenix Indian Hospital, where after the diagnosis of

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