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April 1947


Arch Intern Med (Chic). 1947;79(4):381-390. doi:10.1001/archinte.1947.00220100031002

THE COEXISTENCE of active tuberculosis and coccidioidomycosis is rare. Smith1 has reported the cases of many persons who have had positive reactions to tuberculin tests of the skin with active coccidioidal infections. He further described the similarity of physical and roentgenologic findings in the two diseases. Cherry and Bartlett2 have recently reported a case of coexisting active tuberculosis and coccidioidal infection. Smith3 mentioned the presence of coccidioidal infection superimposed on active tuberculosis. He described 1 patient with a tuberculous effusion on one side in whom a coccidioidal effusion developed on the other side. We present a case of a spontaneous hydropneumothorax in which were isolated both Coccidioides immitis and Mycobacterium tuberculosis.

REPORT OF A CASE  The patient is a 27 year old white soldier who entered the hospital complaining of shortness of breath on exertion. His past history revealed no significant medical or surgical diseases. In September