A Clinical Report of a Case of Blastomycosis of the Skin From Accidental Inoculation.

The subject of this report is a physician, 28 years of age, who has had unusually good health, with no history of specific or venereal disease or tuberculosis or any tuberculosis in the immediate family. On December 4, at an autopsy on a case of systemic blastomycosis, he accidentally inflicted a very slight skin wound with the point of a needle on the palmar surface of the left index finger, just in the fold at the junction of the proximal and middle phalanges. The wound was insignificant and apparently healed. At the end of about one week a very small pustule appeared at this point. This was opened and a small drop of pus removed. It was not noticed again until after several days, when a small pustule again appeared and a small drop of pus was evacuated, as before. The affected area was very small, about the size of a pin head or less. The minute pustule was covered by a very thin layer, probably only the epidermis.