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DIAGNOSIS AND TREATMENT OF CHRONIC COCCIDIOIDOMYCOSIS

EDWARD J. DENENHOLZ; GARNETT CHENEY
Arch Intern Med (Chic). 1944;74(5):311-330. doi:10.1001/archinte.1944.00210230003001.
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The recognition of acute coccidioidal infection occurring in more or less epidemic form, particularly during the dry, dusty months in endemic areas, may offer little difficulty.1 However, the bizarre nature of chronic coccidioidal infection may often make the diagnosis of this form of the disease more elusive. With the military movement of troops, soldiers trained in areas in which coccidioidomycosis is endemic may exhibit the manifestations of chronic coccidioidal infection in localities far removed from the site in which the infection was originally acquired and in regions where this diagnosis is rarely considered. It is therefore highly important that medical officers, even though they are stationed well outside of areas in which coccidioidomycosis is endemic, be familiar with the chronic or residual manifestations of this disease. The military implications of coccidioidomycosis have been appreciated by the Surgeon General of the United States Army. In 1941 the preventive medicine division

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