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Modern workers have shown that actinomyces bovis (probably the etiological agent in cases of true actinomycosis) may be cultured from the mouths of some apparently healthy persons. It seems reasonable to believe that the organism may exist harmlessly in the human gastrointestinal tract, chiefly the buccal cavity.
Actinomycosis sometimes behaves like a focal infection. The primary focus is presumably in the mouth in most cases.
Osseous actinomycosis is the rarest form of the disease. So-called “primary” osseous actinomycosis is probably an example of actinomycotic focal infection.
A case is reported of actinomycosis involving the pubic bone with no other demonstrable actinomycotic lesions. The pubic lesions were first interpreted as metastases from prostatic carcinoma.
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© 1934 Published by Elsevier Inc.