Pulmonary Moniliasis

Three cases of pulmonary moniliasis came under observation in the Fifth Medical Service of the Boston City Hospital during November 1932. One was an infection secondary to pulmonary tuberculosis, the other two were primary infections. Because of the confusing symptomatology, the excellent results obtained with treatment and the sparseness of cases in American literature, it is believed that this report is warranted. Castellani's1early description of bronchomoniliasis was that of a disease closely simulating the clinical picture of pulmonary tuberculosis. Subsequent papers by various authors, however, described several other clinical manifestations of monilia infections of the lungs and bronchi. In addition to the often stressed resemblance to pulmonary tuberculosis,2also tracheobronchitis,3lobar pneumonia,4bronchopneumonia5and bronchial asthma6have been reported as the result of monilia infections of the respiratory organs. Although Castellani first focused attention on the fact that monilia may be the primary