Actinomycosis

This is a very rare disease, and may best be described by the following case as reported by Drs. J. Durier and G. Gautier:

The patient was aged 24. The disease, the etiology of which could not be definitely traced, had appeared nine months previously. The lesion occupied almost the entire right check, extending from the inferior border of the orbit above, limited on the inner side by the nasal furrow, and arrested below at a line corresponding to the upper border of the inferior maxilla, and extending over the entire check-bone. The surface was of a reddish-violet, of the color of certain forms of lupus, and covered in part by scales. The lesion was somewhat elevated and studded with half a dozen hemispherical elevations or nipples of about one centimetre in diameter, some of them ulcerated at the sum­mit and covered with crusts.