274 The Philippine Journal of Science 



at which time the abscess had healed, she delivered a healthy 

 young one. Neither thrived ; the mother slowly became thinner 

 and died of exhaustion four and one-half months after delivery. 

 Autopsy revealed a bilateral, chronic pulmonary blastomycosis 

 similar to that usually found in human cases. From the evidence 

 presented during the last five months of life, or elicited by 

 autopsy, the erroneous conclusion that the infection was primarily 

 pulmonary could hardly have been avoided. By analogy it seems 

 possible for systemic blastomycosis in man to be similarly 

 inaugurated, perhaps at a considerable time before, by a tem- 

 porary or inconspicuous peripheral lesion. Therefore, though 

 it is highly probable that the respiratory tract may more or less 

 frequently be primarily affected, the conclusion that this is the 

 constant or even the usual portal of entry is hardly to be justified 

 on the basis of imperfect history or of late clinical and autopsy 

 findings. 



