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January 1942


Author Affiliations


From the Collis P. Huntington Memorial Hospital and the Massachusetts State Tumor Diagnosis Service.

Arch Intern Med (Chic). 1942;69(1):90-98. doi:10.1001/archinte.1942.00200130100009

We report a case of fatal torula meningitis complicating Hodgkin's disease. The patient was an American-born man aged 39 who was referred to the Collis P. Huntington Memorial Hospital for treatment of "reticulum cell sarcoma" of the neck and the mediastinum. This diagnosis had been made at another hospital on the basis of a biopsy of a right supraclavicular node and a widened mediastinal shadow in a roentgenogram. Symptoms of easy fatigability, loss of appetite, susceptibility to colds and rheumatoid pains had been present for about one year, but the most distressing and urgent symptom, severe occipitofrontal headaches, was of shorter duration, a little over one month. Projectile vomiting had accompanied some of these attacks of headache, and an irregular fever, with a temperature up to 103 F., had been noted during one of these occasions. The only point of possible interest in the past history was a deep injury