J. R. Graybill; J. A. Reinarz, M.D., F.A.C.P.
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Over a 6-year period 13 patients were treated at Wilford Hall USAF Medical Center, Lackland AFB, Tex., for disseminated coccidioidomycosis. The correct diagnosis was infrequently made from initial history and physical examination. Eleven patients had acquired their disease in either Texas or Arizona, and two patients were in foreign countries when they became symptomatic. Most did not give a history suggesting recent pulmonary disease and presented with signs or symptoms referable to either cutaneous or skeletal lesions. Cocci spherules seen in tissue sections or aspirates provided the correct diagnosis in 10 of 13 patients. Complement fixation titers were at some
Graybill JR, Reinarz JA. Disseminated Coccidioidomycosis.. Ann Intern Med. 1972;76:879. doi: 10.7326/0003-4819-76-5-879_3
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Published: Ann Intern Med. 1972;76(5):879.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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