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May 7, 1938

ACTINOMYCOTIC MENINGITIS WITH A PRIMARY FOCUS IN THE FINGER: REPORT OF A CASE DIAGNOSED DURING LIFE

Author Affiliations

Tekonsha, Mich.; Battle Creek, Mich.

From the Pathological Laboratory of the Leila Y. Post Montgomery Hospital, Battle Creek. Mich.

JAMA. 1938;110(19):1552-1553. doi:10.1001/jama.1938.62790190002007a
Abstract

Actinomycosis of the central nervous system is a rare disorder, although the first case on record was recognized only a few years following the first description of the organism sixty years ago. We have noted 110 cases in the literature. For an exhaustive historical survey and bibliography, the reader is referred to the work of Friedman and Levy1 in 1936. We feel that the case presented here is unusual because of the focus of infection, for in nearly all instances the primary site has been in the bones and cavities of the skull or in the lungs. It is also among the relatively few cases in which the diagnosis was made prior to death and in which the patient had not been recognized for some time as being the victim of this disease in a more or less chronic and disseminated fashion.

REPORT OF CASE  History.—A white boy,

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