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A nodule from the infrapatellar region of the left knee of a patient in Israel was found by fluorescent antibody staining to contain the tissue form cells of Blastomyces dermatitidis. The diagnosis was confirmed by culture and other mycological studies when a second lesion appeared below the right knee. This represents the first autochthonous case of blastomycosis from Israel and the Middle East.
Accepted for publication April 8, 1978.
* Address reprint requests to: Dr. L. Ajello, Mycology Division, Center for Disease Control, Atlanta, Georgia 30333.
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