FURTHER REPORT OF A PREVIOUSLY RECORDED CASE OF BLASTOMYCOSIS OF THE SKIN; SYSTEMIC INFECTION WITH BLASTOMYCES; DEATH; AUTOPSY.

INTRODUCTORY NOTE BY DR. MONTGOMERY.  I reported this case before the meeting of the American Dermatological Association in 1900¹ as a case of blastomycosis of the skin (blastomycetic dermatitis of Gilchrist), in which death finally occurred from miliary tuberculosis of the lungs and other organs. In explanation, I would state that I was away from Chicago during the last weeks of the man's illness and at the time of his death. My friend, the late Dr. D. D. Bishop, in whose charge I left the case, wrote me that the autopsy showed the man died of miliary tuberculosis. Up to this time the diagnosis of the cutaneous lesions had not been definitely determined, though they had been carefully studied both clinically and histologically by a number of competent observers. The case was now considered an unusual form of cutaneous tuberculosis followed by systemic infection. I gave Dr. Bishop the