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April 23, 1910


Author Affiliations


JAMA. 1910;LIV(17):1368. doi:10.1001/jama.1910.92550430001001g

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This case is reported on account of the rarity of the disease and the especial rarity of primary infections of the skin from the ray fungus.

History.  —The patient was a cowboy, aged 26. The lesion had started as a hard nodule near the angle of the jaw, which rapidly increased in size to that of a filbert and which at the same time showed in the skin covering it the peculiar dark red color of actinomycosis. Several other nodules formed and all, at the time the patient consulted me, were in a stage of softening and discharging a purulent matter. The disease had been in progress some weeks and had been variously diagnosed and treated but without success as to a cure or even amelioration.

Diagnosis.  —The patient denied syphilitic taint, nor did he show it. Tuberculous conditions were eliminated. One of the

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