A possible case of Lôbo's disease acquired in Europe from a bottle-nosed dolphin (Tursiops truncatus).

A granuloma of the skin of one hand, accompanied by supratrochlear lymphadenitis, became evident about 3 months after the patient, an aquarium attendant, had had occupational contact, in Europe, with a bottle-nosed dolphin (Tursiops truncatus). The dolphin, when caught in the Bay of Biscay, had granulomas of the skin: yeast-like organisms, morphologically indistinguishable from Loboa loboi, were found in a biopsy specimen. Identical organisms were present in the attendant's skin lesion and supratrochlear lymph node.

Imported mycoses: some diagnostic problems.

Infections by actinomycetes or by true fungi may cause diagnostic difficulties in countries where they are not familiar. Illustrative cases from a series of 353 instances are given together with rare indigenous examples of the same infections. Early, accurate diagnosis is essential for rational and effective treatment.

Amphotericin pharmacophobia.

Five cases are described in which fear of the possibly hazardous effects of giving amphotericin to patients with kidney disease resulted in death from progressive infection by an amphotericin-sensitive fungus (Cryptococcus neoformans in three cases, Blastomyces dermatitidis in one case, and Histoplasma capsulatum in one case).