366 
REPORTS OF CASES. 
noinena will develop in about a month ; in three or four monel 
there will be marked symptoms. 
In the human disease there are some clinical points of spec! 
interest. If it attack the face, the result is usually favorabl 
In such cases it appears as a soft fluctuating abscess, with an ii 
filtration of the adjacent soft parts at the angle of the jaw; i 
about one-half of such cases the disease extends as far as the stern* 
mastoid muscle; sometimes it gravitates down to clavicle; it In 
the appearance of a cold abscess and is not associated with constiti 
tional phenomena. After discharge has begun a fungous mass pr< 
trudes through the orifice, but eventually a sinus is left, usuall 
communicating with several ramifying passages. In fatal case 
the disease continues from seven to twenty months. In some c 
them metastases occur, and several parts, such as the pleur? 
pericardium and abdominal cavity were involved. 
So far as we know, any part of the body be may attacked, bu 
from the fact that it usually selects the jaws and that its attack 
are contemporaneous with an ulcerated surface, while, on th 
other hand, these fungi are not uncommonly found about th 
teeth, it is conjectured that the parasite enters with the food, bu 
only takes root upon an exposed surface. Since Ponfick’s report 
twelve additional cases have been published, chiefly by Italiai 
and German writers. The parts attacked have been the lunge 
(2), the intestines (3), the ovarian tubes (2), the jaw (4), th 
abdomen (1), two having been contributed by Dr. J. B. Murphy 
of Chicago.” 
The following reference are given to facililate the study of thi 
1 teresting subject: 
^1). Bollinger.—Ueber eine neue Pitzkrankheit beim Rinde. Centralbl., 
d. Med. Wiss. 1877, No. 27. 
(2) . Pontfick.—Die Actinomycose des Menschew. Berlin, 1882. 
(3) . Partsch.—Zwei Faille von Actinomyces. Breslau, Arztlich, Zeitschr 
III. Yahr, S. 78, 1881. 
(4) . Rosenback.—Zur Kenntniss d. Strahlen Pitzkrankheit. Centralbl., c 
Ckir., 15, 1880. 
(5) . Israeli.—Virchow, Archiv. LXXIY. S. 15. 
(6) . Johne.—Bericht ueber d. Yeterinier. Wesen in Konigich Saehsen. 1871 
S. 71. 
(7) . Belfield.—“Swelled head” in cattle, Am. Pub. Health Ass. Rep. 
1883, 1884, IX. III., 115. 
(8) . Whitney.—A Case of Actinomycosis in a Heifer. Boston Med. an 
Sur. Jour., 1884, CX., 532. 
