File:Medical diagnosis for the student and practitioner (1922) (14784400062).jpg

Identifier: medicaldiagnosi00gree (find matches)
Title: Medical diagnosis for the student and practitioner
Year: 1922 (1920s)
Authors: Greene, Charles Lyman, 1862-
Subjects: Diagnosis
Publisher: Philadelphia, Blakiston
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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iefly upon remembrance of the fact that such causes of dis-ease exist and that the very terms syphilis and tuberculosis, especially,must carry with them the suggestion of the nocardoses and mycoses asrare possibilities. ACTINOMYCOSIS.—This disease which also belongs to the infectivegranulomata is caused by the Streptothrix actinomyces or ray-fungus, and ACTINOMYCOSIS II3I constitutes the lumpy jaw of cattle. Successful cultivation and animalinoculation have proven the fungus, and the pus from the lesion shows charac-teristic opaque yellow granules from J£ to 2 mm. in diameter. Infectionoccurs, doubtless, through the entrance of the fungus into the mouth or airpassages of man, and the disease is divisible into four forms according to theseat of the primary process. // the upper portion of digestive tract be involved, there may be swellingof the face, usually unilateral, but sometimes bilateral, closely simulatingsarcoma or tertiary syphilis. The tongue may be affected or the disease
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Lumpy jaw. Characterise yellow granules. Fig. 546.—Madura foot. (After Carter.) may be found along the lower digestive tract where it may produce appen-dicitis, colitis, and even peritonitis, but the liver is rarely affected. Pulmonary actinomycosis is a chronic, wasting febrile disease with marked simulatespulmonary symptoms simulating chronic bronchitis, the usual pulmonary tuberculosis,abscess, disseminated tuberculosis, broncho-pneumonia, or tuberculosis asso-ciated with interstitial changes and cavities. In the digestive form the organism may be recovered from the stools, in thepulmonary form the presence of actinomycoses in the sputa and the absence oftubercle bacilli may sometimes make the diagnosis clear * Cutaneous actinomycosis closely simulates tuberculosis of the skin. Cere-bral actinomycosis yields symptoms of brain tumor or abscess. Diagnosis.—The disease so closely simulates a multitude of tumor * The author has encountered more closed than open cases and knows of n

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