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I have observed two cases of actinomycosis in the past two years, in both of which the ray fungus was found microscopically. When one considers the rarity of this disease in the United States, a brief report of these additional cases might be of interest.
REPORT OF CASES
Jane B., aged 12 years, an American, referred by Dr. Hoops of Jersey City, gave the following history when I saw her for the first time on July 4, 1926: The lesion began as a hard lump the size of a bean, on the cheek near the left nostril. A loose tooth immediately below this lump had recently been extracted by the child's mother. There was no swelling of the surrounding tissue and no redness of the skin, but a faint white spot was noticeable over the lump. The patient's physician considered at this time the possibility of a local