Blastomycosis of the Bladder

One may find an occasional yeast cell in pus or in non-catheterized urine, but so far as I am able to ascertain there is no reported case of blastomycotic cystitis. This case occurred in a physician, aged about 47. In October, 1922, he had a cystitis, withStreptococcus mucosus, which lasted about a year, clearing up under autogenous vaccine and methenamine. During the night of May 5, 1925, he had a chill with rather marked malaise, weakness, a temperature of 101 F., and a moderate night sweat toward morning. During the next day, he had frequent urination with burning and tenesmus. This continued and, May 8, he submitted himself to me for examination, supposing the trouble to be a return of the former cystitis. Urine was passed in a sterile bottle after the meatus was washed with alcohol, and examined immediately, as the patient was from out of town