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May 24, 1947


Author Affiliations

Oklahoma City

JAMA. 1947;134(4):351-360. doi:10.1001/jama.1947.02880210029007

Cutaneous actinomycosis may appear near any body cavity but is seen most frequently about the mouth. All the cases about to be discussed were so located. Cervicofacial actinomycosis may be primary or secondary. The primary form is comparatively rare, and as 15 of our cases were of the secondary type, the present discussion will be limited for the most part to that form of the disease.

INCIDENCE  Formerly regarded as a regional disease, a wider knowledge of bacteriology has made the members of the medical profession alert to detect actinomycosis in nearly every portion of the globe—"wherever there is a microscope and a laboratory," as Zachary Cope has put it. Cope,1 writing in 1939, noted that for the previous six years there had been just 60 deaths from actinomycosis in Great Britain. He does not give the total number of cases reported. In the United States in the two