. The American journal of roentgenology, radium therapy and nuclear medicine . n his permission, 1 now wishto present the case histories together withthe roentgen findings of five patientsaflflicted with this disease, coming underour observation during my service asattending roentgenologist at that all of these cases, the positive diagnosiswas made by the pathologist. Case 1. Patient 90968 G. O., Mexicanranch hand. Entered the Los AngelesComity Hospital Feb. 4, 1916, with anadmitting room diagnosis of monarticularrheumatism and sent to the medicalservice. Complaint was that of ])ai
. The American journal of roentgenology, radium therapy and nuclear medicine . n his permission, 1 now wishto present the case histories together withthe roentgen findings of five patientsaflflicted with this disease, coming underour observation during my service asattending roentgenologist at that all of these cases, the positive diagnosiswas made by the pathologist. Case 1. Patient 90968 G. O., Mexicanranch hand. Entered the Los AngelesComity Hospital Feb. 4, 1916, with anadmitting room diagnosis of monarticularrheumatism and sent to the medicalservice. Complaint was that of ])ain andswelling of the left ankle; the ])ain hadexisted one month jirior to entrance to thehospital, the swelling appeared a littlelater. The pain had come insidiously, andwas aggravated by walking and was not accompanied by a rise of Mexico until 1910. He then came toBakersfield, Cal., where he worked astrack-hand on the railroad for a short time,then came to Los Angeles, and since thattime has spent two, three or four monthseach year at Oxnard, Ventura County,. *FiG. 4. Showing THE .Microscopic .\iiEAKANCE ofTHE Growth .\s it Appears ox .Artificial CultureMedia. * Plates fvirnished by Dr. Charles W. Bonynge, Bacteriologist, Los Angeles, Calif. Coccidioidal Granuloma 549 helping with the bean crop, mostly as athreshing hand. His general condition became rapidlyworse, his temperature being elevated ° in the afternoons with a morningtemperature usually around 99° and 100°.Pulse rate increased from 90 to 120 beforeoperation, performed by Dr. R. on Feb. 15,1916, when a curettage of the bone of theankle joint was done. Nothing was re-
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