. Surgery, its principles and practice . es capableof producing the clinical aspects of mycetoma. Six of these produce thewhite form and two the black, and among the former he placesthe well-known ray fungus, here classified as a discomycete. (See Actino-mycosis.) According to this author, the parasites and resulting tumorsshould be classified as follows: MYCETOMA OR MADURA FOOT. 1127 Organism. 1. Discomyces bovis (actinomyces). 2. Discomyces madurae (Streptothxix madurae). 3. Aspergillus nidulans. 4. Aspergillus bouffardi, n. s. Brumpt. 5. Madurella mycetomi (Streptothrix mycetomi, Laveran).


. Surgery, its principles and practice . es capableof producing the clinical aspects of mycetoma. Six of these produce thewhite form and two the black, and among the former he placesthe well-known ray fungus, here classified as a discomycete. (See Actino-mycosis.) According to this author, the parasites and resulting tumorsshould be classified as follows: MYCETOMA OR MADURA FOOT. 1127 Organism. 1. Discomyces bovis (actinomyces). 2. Discomyces madurae (Streptothxix madurae). 3. Aspergillus nidulans. 4. Aspergillus bouffardi, n. s. Brumpt. 5. Madurella mycetomi (Streptothrix mycetomi, Laveran). 6. Indiella mansoni, n. g., n. s. Brumpt. 7. Indiella raynieri, n. s. Brumpt. 8. Indiella somaliensis, n. s. Brumpt, Disease. Actinomycosis (g. v.). Most common white mycetoma of mycetoma (unique case).Black mycetoma (unique case).Most common black mycetoma. White mycetoma (one specimen only,but very common in India). White mycetoma (unique case, Paris). White mycetoma (found in Somaliland,but supposed to be common inlndia).. The last four fungi the author places provisionally among the muce-dineae, because the lack of knowledge as to their method of fructificationdoes not entitle them to be rankedotherwise, but he believes that futureresearch will prove these to be as-comycetes as well as the others. The tumors produced by theseparasites may not differ essentiallyamong themselves in gross appear-ance or in symptomatology, but maybe differentiated by the size, shape,and color of the grains, and stillmore surely by microscopic examina-tion. For the production of the dis-ease certain conditions, as yet un-known, must be necessary on the partof the patient and also of the plant,otherwise the disease, one wouldthink, would be more temperature, moisture, andperhaps the geographic distributionof grasses, cereals, or other plants, onwhich possibly the fungi are sapro-phytic, are probably factors in main-taining the disease. Very many casesdate from an


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