THERE has been considerable interest in the literature on histoplasmosis, as the number of cases reported indicates. In 1940 only 32 cases had been reported, and by January, 1950, there were 138 cases in the literature.
This apparent increase raises the question of whether the incidence of the disease is increasing or whether clinical awareness is bringing to light hitherto unrecognized cases.
The protean manifestations and widespread systemic involvement by this condition have interested investigators since Darling first reported a case in 1906.1 In recent years several excellent reviews have appeared2; so it is not the purpose of this paper to review the literature. Our purpose is to present a very interesting and unusual aspect of this disease.
REPORT OF A CASE
The patient was a 63-year-old white, married, Italian-born man. He had lived in the Joliet, Ill., area since coming to the United States, in 1909. He