Blastomycosis

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Abstract
IN the case presented below, a nine-year-old girl died in Boston after a severe, progressive respiratory illness of six weeks' duration. A clinical diagnosis of "North American" blastomycosis was made shortly before death and was confirmed at autopsy and on post-mortem culture. The unusual features included the patient's age and sex, the fulminant clinical course, and the geographic location. These, together with unreliability of skin testing, prevented earlier diagnosis.Case ReportA 9-year-old Negro girl had been in apparent good health until 1 month before admission, when progressive fatigue and general malaise developed. One week later a cough, productive of . . .