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Actinomycosis. Presented by Dr. Fraser.
A man, aged 39, single, a silk packer, whose family and personal history was negative except that he had been subject to frequent attacks of toothache, on Nov. 16, 1923, had one of these attacks in a right lower molar, which was followed by the appearance of a reddish indurated mass over the midportion of the lower jaw. Dr. Ferris saw the patient on November 19, made an incision onehalf inch in length over the margin of the jaw, evacuated a small quantity of pus, and curetted and packed the wound with iodoform gauze. Instead of improving after this procedure, the mass continued to grow larger. Dr. Ferris referred the patient to the Norwegian Hospital, and on December 9 curetted the whole of the diseased area.Dr. Theodore Curphy, pathologist of the hospital, examined sections of the tissue microscopically and made a diagnosis of actinomycosis.