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Severe Vegetative Pyoderma of the Face Due to Bacteroides Fungiformes, Resistant to Treatment with Penicillin but Responsive to Treatment with Streptomycin. Presented by Col. Raymond M. Williams, Philadelphia (by invitation).
J. R., a 35 year old man, acquired pinhead-sized, creamy-white papules within the orifice of his right naris on April 15, 1946, while stationed in Japan. Satellite papules developed, coalesced and rapidly became a fulminating mass which completely obstructed the right naris and, by extension, blocked the left naris shortly thereafter. The verrucous growths were removed by electrocautery but reappeared within a week. Extensive laboratory studies revealed no abnormalities. The rapidly growing vegetations again obstructed both nares and extended outward to involve the midportion of the upper lip, and two dime-sized vegetations appeared on the lateral borders of the chin. Treatment with sulfonamide drugs and penicillin was of no value. The laboratory examinations were repeated but with negative
Novy FG, Keddie FM. LOS ANGELES DERMATOLOGICAL SOCIETY AND SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;61(3):506–517. doi:10.1001/archderm.1950.01530100150029