ANDREW S. TEGERIS; DAVID T. SMITH, F.A.C.P.
Epidemics of acute pulmonary histoplasmosis have been recognized with increased frequency in recent years. In 1957 Lehan and Furcolow collected 38 epidemics involving over 400 individuals.1 Although many of the patients were seriously ill for weeks, there were only five deaths, and three of these were in children. The low mortality (1.2%) suggests that most patients develop adequate immunity.2 They also develop an allergy of the tuberculin type to histoplasmin within the first two to three weeks of the disease.
In the case to be reported the patient was exposed to bat manure in a cave and apparently received a
TEGERIS AS, SMITH DT. ACUTE DISSEMINATED PULMONARY HISTOPLASMOSIS TREATED WITH CORTISONE AND MRD-112*. Ann Intern Med. 1958;48:1414–1420. doi: https://doi.org/10.7326/0003-4819-48-6-1414
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Published: Ann Intern Med. 1958;48(6):1414-1420.
Infectious Disease, Pulmonary/Critical Care.
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