The Aspergillus niger has been reported rather frequently as occurring in the outer ear, but, as far as I can find, after a careful search of the literature, it has never been observed previously in the pharynx.
My patient was a young man, 18 years old, whom I had been treating for chronic catarrhal otitis media. On inspecting his pharynx, I found it covered with a black glistening membrane which covered his whole pharynx and nasopharynx. This membrane was quite tough and could be lifted 4 or 5 mm. without rupturing, leaving an apparently normal mucous membrane underneath. A small part of this membrane was sent to the pathologic laboratory of the Boston City Hospital, where it was reported to be entirely made up of mycelium and spores of the Aspergillus niger. In spite of rather vigorous treatment, the Aspergillus niger could be demonstrated for weeks in the secretion of