Word: granuloma
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Dates: during 1938-1938
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More rare and more deadly is the second stage, known to physicians as coccidioidal granuloma. Any time after an attack of "valley fever," about one patient in 500 develops symptoms of tuberculosis: enlargement of lymph nodes, lesions of the bones. Large ulcers develop all over the body and after extended suffering, 50% of the patients die. Medicine can offer them no help, for doctors know little of the course of the disease...
Only procedure is to treat coccidioidal granuloma like tuberculosis. By 1936, said short, bright-eyed Dr. Dickson, 450 cases of the secondary disease had been reported in San Joaquin Valley, most of them in Tulare, Kern, Kings and Fresno counties. The disease is not contagious and attacks animals as well as men. Why San Joaquin Valley is the centre of coccidioidomycosis, Dr. Dickson could not say. Perhaps the hot dry summers, he suggested, favor the growth and reproduction of the fungus. Certain it is that the disease is not spreading beyond the valley...
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