Occurrence of Blastomyces Dermatitidis in Israel

First Autochthonous Middle Eastern Case

E. S. KuttinIsrael Reference Laboratory for Medical Mycology, Department of Epidemiology, Israel Institute for Biological Research, Department of Pathology, Hebrew University Medical School, Mycology Division, Center for Disease Control, U. S. Department of Health, Education, and Welfare, Public Health Service, Ness-Ziona, Israel

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A. M. BeemerIsrael Reference Laboratory for Medical Mycology, Department of Epidemiology, Israel Institute for Biological Research, Department of Pathology, Hebrew University Medical School, Mycology Division, Center for Disease Control, U. S. Department of Health, Education, and Welfare, Public Health Service, Ness-Ziona, Israel

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J. LevijIsrael Reference Laboratory for Medical Mycology, Department of Epidemiology, Israel Institute for Biological Research, Department of Pathology, Hebrew University Medical School, Mycology Division, Center for Disease Control, U. S. Department of Health, Education, and Welfare, Public Health Service, Ness-Ziona, Israel

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L. AjelloIsrael Reference Laboratory for Medical Mycology, Department of Epidemiology, Israel Institute for Biological Research, Department of Pathology, Hebrew University Medical School, Mycology Division, Center for Disease Control, U. S. Department of Health, Education, and Welfare, Public Health Service, Ness-Ziona, Israel

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W. KaplanIsrael Reference Laboratory for Medical Mycology, Department of Epidemiology, Israel Institute for Biological Research, Department of Pathology, Hebrew University Medical School, Mycology Division, Center for Disease Control, U. S. Department of Health, Education, and Welfare, Public Health Service, Ness-Ziona, Israel

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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.

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