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August 8, 1908


JAMA. 1908;LI(6):500-501. doi:10.1001/jama.1908.02540060050004

In 1898 Schenck1 reported an unusual case of refractory subcutaneous abscesses of the arm, the point of entrance of the infection being a scratch by a nail of the index finger, whence the infection extended along the lymph channels. From the contents of these abscesses Schenck isolated in pure culture a fungus which was regarded as "possibly related to the Sporotricha." The abscesses contained a gelatinous pus and often they were succeeded by ulcers with undermined edges. The illness in this case lasted about six months.

Two years later Hektoen and Perkins2 observed a similar case with an almost identical clinical course, the abscesses developing after an abrasion of the finger from a blow by a hammer. A number of abscesses and ulcers formed in the subcutaneous tissue of the forearm and there was swelling of the axillary and supraclavicular lymph nodes. The illness lasted three months. Cultures