Sajous's analytical cyclopædia of practical medicine . ven the base ofthe skull and brain. A primary actinomycosis infectionof all salivary glands can take disease in the early stage has adefinite clinical as well as pathologicpicture. In a relatively short timethe writer observed 9 primary of these were very early casesof primary actinomycosis of the sali-vary glands. Altogether he reports31 cases, 7 of which originated fromthe submaxillary gland. The infec-tion entered positively by the ductroute in some of the cases and prob-ably in the others also, the patientchewing
Sajous's analytical cyclopædia of practical medicine . ven the base ofthe skull and brain. A primary actinomycosis infectionof all salivary glands can take disease in the early stage has adefinite clinical as well as pathologicpicture. In a relatively short timethe writer observed 9 primary of these were very early casesof primary actinomycosis of the sali-vary glands. Altogether he reports31 cases, 7 of which originated fromthe submaxillary gland. The infec-tion entered positively by the ductroute in some of the cases and prob-ably in the others also, the patientchewing a stem of grain bearing theactinomycotic organism. Three dif-ferent stages are observed: a diffuseinflammatory process, a localizedabscess, and a spreading abscesswithin the gland, eventually formingnew abscesses and finally breakingthrough with the formation of fis-tulae, either external or internal. (Nord. med. Ark., xlvi,No. 4. 1914). 3. Intestinal Canal.—The disease be-gins with a sharp, lancinating pain in n p o 5 S < o oq a 3 s. ACTINOMYCOSIS (LAPLACE). 313 the abdomen and follows the course ofchronic peritonitis. Swellings form-ine abscesses are found on the anteriorabdominal wall, which sometimescommunicate with the intestine. Itmay also start from the vermiformappendix. There have also been casesof primary actinomycosis of the colonwith metastatic deposits in the of the intestines ischaracterized by extensive indurationdue to a marked development of peri-toneal adhesions and to the exten-sion of the process to the abdominalwall and neighboring organs. As be-fore mentioned, the tendency to theformation of the fistulse is involvement of the liveris not unusual. G. S. Towne (Albany-Med. Annals, June, 1917). An acute or chronic inflammationof the appendix may open the doorfor the entrance of the actinomycoticorganism. In general, actinomycosisis practically never carried by thelymphatics and but rarely by theblood str
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