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September 1953


AMA Arch Otolaryngol. 1953;58(3):306-309. doi:10.1001/archotol.1953.00710040326006

LOCALIZED coccidioidomycosis of the upper respiratory tract with or without regional spread is rare. I am unable to find a reported case in the recent literature. Coccidioidomycosis, either primary or disseminated, is found in various and multiple foci in the body other than the upper respiratory tract. Forbus,1 in collecting 50 autopsies, listed the frequency of organ involvement: lungs, lymph nodes, spleen, skin, liver, kidneys, bones, meninges, adrenals, myocardium, hair, pericardium, and pancreas.

Fifty confirmed clinical cases within the past five years in which treatment was given at this hospital were reviewed. This review shows the frequency of organ involvement to be only slightly different—lungs, bones, lymph nodes, skin, meninges, liver, spleen, kidneys, adrenals, pancreas, thyroid and myocardium. In this group there were five deaths; in three of the fatal cases autopsy was done. In none of the reviewed cases or in the autopsied cases were lesions found in

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