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October 1954


Author Affiliations

From the Section of Bacteriology (Dr. Weed) and the Section of Pediatrics (Dr. Keith), Mayo Clinic.

AMA Am J Dis Child. 1954;88(4):485-491. doi:10.1001/archpedi.1954.02050100487009

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WE ARE reporting the following case of pulmonary nocardiosis with multiple metastatic abscesses because it presented a difficult problem in diagnosis and because it had an unusual origin in severe disease of the lung in a child.

REPORT OF CASE  Clinical Aspects.—A boy, 15 months old, was admitted to a hospital in Indiana on Dec. 6, 1952, because of a respiratory infection of about 10 days' duration. At the onset, the patient had contracted what was thought to be a head cold, although he previously had manifested a productive cough. There was a moderate elevation of temperature accompanied by cough and wheezy respiration, pallor, listlessness, and loss of strength. A mild blueness developed around the lips and eyes. Vomiting had been periodic, and the cough was much worse at night. The feeding habits of this child had always represented a problem. He had been in a hospital because of

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