. Annales de chirurgie . région ian vers le haut et vers l'extérieur, dans ou immédiatement sous la paroi abdominale. Il y avait aussi des tumeurs semblables s'étendant vers l'intérieur et vers l'extérieur de la région ovarienne droite, et une sinusine suppurante de la cicatrice et de la ligne médiane. L'utérus a été agrandi et fixé.le sarcome a été suspecté, et elle a été placée sur les anysipelas toxinsCe traitement a été maintenu pendant vingt-et-un jours, la dose a augmenté d'un demi à sept et demi minims. La taille des massesdiminuait de façon constante et marquée. La douleur assistant à ces ACTINOMYCOSE CHEZ L'HOMME. 39 injections ont été considérables. Pendant ce t

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. Annals of surgery . ian region upward and outward, in or immediately under theabdominal wall. There were also similar tumors extending upwardand outward from the right ovarian region, and a suppurating sinusin the scar and median line. The uterus was enlarged and fixed.Sarcoma was suspected, and she was placed upon the erysipelas toxinsThis treatment was kept up for twenty-one days, the dose beingincreased from one-half to seven and one-half minims. The massesdiminished in size steadily and markedly. The pain attending these ACTINOMYCOSIS IN MAN. 39 injections was considerable. During this treatment several abscessesdeveloped in the tumor mass, not, however, at the sites of the injec-tions. The pus, as it escaped on opening these, contained smalliodoform-yellow granules, in which were found the streptothrix actino-mycotica. The toxins were stopped and she was placed on iodide ofpotassium ten grains three times a day, increasing each dose onegrain a day. Under this treatment her general condition improved. i* IG. I.—Actinomycosis of left lumbar region. markedly. The gain in weight has been pronounced. The tumors, however, have shown no signs of diminishing in size. In fact, theyhave again become as large as they were before the toxins were used.The attending physician again tried the erysipelas toxins, but thepain caused by the injection caused him to desist. Case LXXIL—L. M. Tiffany, Baltimore. (I am indebted toDr. Tiffany for the following heretofore unreported case.) Male, 240 JOHN RUHRAH. aged thirty-six; first seen in consultation with Dr. Bosley in 1896.At that time there was a collection of pus in the right iliac fossaextending above the crest of the ilium behind. A free opening inthe right lumbar region was followed by a copious evacuation of pus.Healing took place rapidly. Early in 1899 suppuration was againdetected in the left lumbar region, which was freely opened. Thewound did not heal completely, sinuses remaining. One month laterintestinal contents

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