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January 1963

Coccidioidomycosis in a 3-Week-Old Infant

Author Affiliations

Herman W. Hyatt, Sr., M.D., 618 California Ave., Bakersfield, Calif.

Am J Dis Child. 1963;105(1):93-98. doi:10.1001/archpedi.1963.02080040095015

Coccidioidomycosis in infants less than one month of age is rare. The case herein reported will be compared with 3 similar reports from the literature to emphasize the disseminated nature of the disease at this age.

Report of a Case  On Aug. 15, 1959, a 3-week-old Negro male infant, who weighed 7 lb., 11 oz. (about 3,487 gm.) at birth, was noted to have fever, cough, and grunting. The parents and siblings were well, and the family had lived in the San Joaquin Valley for 13 years. Physical examination in the emergency room of Kern County General Hospital, Bakersfield, Calif., Aug. 17, was within normal limits, and the rectal temperature was 100 F. He was given cough syrup. The fever gradually rose, and on Aug. 18 the baby's neck became stiff. Physical examination on Aug. 29 revealed a temperature of 103.4 F and mild pharyngeal injection. Diarrhea, of 3 days'

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