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(Chest. 1952;22:55-67.)
© 1952 American College of Chest Physicians

Pulmonary Coccidioidomycosis

Clinical and Roentgenological Observations in Residual Lesions

MARK H. JORESS M.D., F.C.C.P.1 and BORIS P. BUSHUEFF M.D., F.C.C.P.2

1 Chief, Thoracic Diseases Section, Boston Regional Office.
2 Resident in Radiology, Veterans Administration Hospital, West Roxbury, Massachusetts.

1) Because of the exposure of large numbers of ex-service people to the endemic Southwest during the recent war years, coccidioidal residuals are now observed in every part of the country.

2) Though the vast majority of cases harboring coccidioidal residuals are maintaining a good health status, a certain proportion have already experienced pathological reactivation in the past, and are expected to reactivate at any time in the future.

3) Illustrative cases are presented in this paper, dealing with the problem of coccidioidal cavity necrosis and hemorrhage, as well as the operative treatment by means of lobectomy of those cases that presented intractable hemorrhage.

4) It is our opinion that in spite of the comparatively low incidence of the disseminated form of coccidioidal residual reactivation, it is an ever-present danger, and may prove fatal.






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Copyright © 1952 by the American College of Chest Physicians.