A New Geotrichum from a Bronchial and Pulmonary Infection, Geotrichum versiforme Moore, N. Sp

GARDEN ast History.-Whoopingcough when child.Pneumonia 6 years previously; in bed 2 weeks and no sequelae.Measles in January, 1931, followed by a mastoiditis.Mastoideetomy performed at the Barnes Hospital in February, 1931.Two or three attacks of tonsillitis since 14 years of age, with abscess at one time.on silleetomy performed at the Barnes Hospital, June 6, 1931.Personal History.-Wassermann and Kahn negativ Present Illness.ice 7 years previously, while a ÉIS in high school, the patient kept irregular hours and began to have a more or less persistent cough, o one occasion the ee being bloody.Cough continued for several years, usually worse in the morning, and about one to two tablespoonsful of sputum, oeeasionally bloody, was iei up.The summer before entry, patient was in the open a great deal and the cough subsided.About a month previous to entry, he developed a fever with generalized pains.He was confined to his bed and since that time the eough beeame more persistent and painful and troubled him mostly at night A chest examination revealed a few squeaks.Fluoroseopie examination showed little, In view of the history of SE cough, sputum examination was advised and X-ray with flat plate on sternu January 4, 1933.-Todate the presence of an infection or dangerous condition not indicated.Further examination to be earried out.January 9, 1933.-Patientfairly well, but complained of persistent cough in morning and occasionally a coughing spell in the afternoon, with which a large amount of pale yellow, occasionally streaked sputum was brought up.Physical findings of lungs showed some EECH on both sides and some increase in left and right lower lungs, with rä Diagnosis.-Bronchiectasis.E al suggested.January 10, 1933.-Lipoidalintroduced into left lung.X-ray showed definite bronehieetasie areas or multiple abscesses.During course of introduction, patient coughed up about 60 ce.purulent material containing bright blood streaks.January 14, 1933.-Patientreturned to the chest clinic.He stated that he had een growing mushrooms for the past year in an underground quarry where the humidity was fairly high.roi esc well at the time, but still brought up a moderate amount of sputum, Further nation of sputum for molds.January 28, Grein mere of base of left lung.