This case, which we believe to be the first reported from the southern states, occurred in the practice of Dr. Robert H. Mitchell, and was thought to be an unresolved pneumonia.
On Nov. 7, 1908, the forty-second day of the illness, and two days prior to death, Drs. Fontaine and Haase were asked to see the case. At this time the diagnosis of systemic blastomycosis was made from the appearance of the cutaneous lesions, and by demonstrating the organism in the sputum and in the pus.
—Mrs. H.; aged 27; color white; native of Austria; married; three children; one living. Mother died at 70, cause unknown. Father died in old age, cause and time of death unknown. Patient was one of twelve children, all of whom are dead save one sister. The last sister to die was sick for some time in Austria, with a disease supposed to have