Abstract
To the Editor: In their excellent review of neurologic disorders in renal failure, Raskin and Fishman discuss neurologic problems encountered after renal transplantation (N Engl J Med 294:204–210, 1976). They underline the importance of chest x-ray examination in the differential diagnosis between fungal brain infection and brain tumors observed after transplantation and write that "a normal chest film practically excludes a Central-nervous-system fungal infection." This rule relies on the fact that the involved fungi, mainly aspergillus and candida and more rarely nocardia and histoplasma, have a predilection for the lung so that a primary pulmonary infection usually precedes or . . .

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