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Actinomycosis. Presented by Dr. Frank C. Knowles.
S. C., a white man aged 38, presents depressed, pigmented and granulating lesions of the anterior region of his thighs. Pigmented scars of healed lesions are present on both legs. The patient was admitted to the hospital on Sept. 15, 1943, with a draining sinus of the right side of the face and spasm of the right masseter muscle. This followed incision and drainage of an abscess of the right cheek after apical infection of an upper molar on the right side in June 1943. Metastatic abscesses then developed in the extensor muscles of the forearms, followed by abscesses in the right temporal region. On Nov. 15, 1943, he was readmitted to the hospital with multiple abscesses of the extensor surfaces of the thighs, the left gluteal region and the right supraclavicular region. During this time a gluteal abscess and uveitis developed. He
Schildkraut JM, Friedman R. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1947;55(2):299–305. doi:10.1001/archderm.1947.01520020154017