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ACTINOMYCOSIS DUE TO NOCARDIA ASTEROIDES: Report of Two Cases

ACTINOMYCOSIS DUE TO NOCARDIA ASTEROIDES: Report of Two Cases Abstract SINCE aerobic types of Actinomyces may be highly pathogenic to man and are not so well known as the anaerobic Actinomyces bovis, the death of 2 patients infected with an aerobic variety appears worthy of record, not only because of the rarity of the organism, but also to emphasize the necessity of accurate diagnosis and vigorous therapy. In 1891, Eppinger1 reported the finding of an aerobic gram-positive, acid-fast actinomyces in cerebral abscesses and meningeal exudate of a man who became delirious and died in two weeks. This organism readily grew on ordinary mediums as small starlike colonies, due to the radiating filaments, and was named Cladothrix asteroides. It has since been known as Streptothrix eppingeri, Streptothrix asteroides, Oospora asteroides and Actinomyces asteroides, and is now called Nocardia asteroides.2 In 1921, Henrici and Gardner3 were able to collect but 26 reported cases of infections with aerobic acid-fast Actinomyces, and the causative References 1. Eppinger, H. L.: Ueber eine neue, pathogene Cladothrix und eine durch sie hervorgerufene Pseudotuberculosis , Beitr. z. path. Anat. u. z. allg. Path. 9:287, 1891. 2. Drake, C. H., and Henrici, A. T.: Nocardia Asteroides , Am. Rev. Tuberc. 48:184, 1943. 3. Waksman, S. A., and Henrici, A. T.: The Nomenclature and Classification of the Actinomycetes , J. Bact. 46:337, 1943. 4. Henrici, A. T., and Gardner, E. L.: The Acid-Fast Actinomyces, with a Report of a Case from Which a New Species Was Isolated , J. Infect. Dis. 28:232, 1921Crossref 5. Henrici, A. T.: Molds, Yeasts and Actinomycetes , New York, John Wiley & Sons, Inc., 1930, p. 249. 6. Baldacci, E.: Revisione di alcune specie del G. Actinomyces , Mycopathologia 1:68, 1938.Crossref 7. Goldsworthy, N. E.: Pulmonary Actinomycosis Caused by an Acid-Fast Species of Actinomyces. J. Path. & Bact. 45:17, 1937. 8. Kessel, J. F., and Goolden, E. B.: Comparison of Strains of Actinomyces Recovered from Human Lesions , Am. J. Trop. Med. 18:689, 1938. 9. Benbow, E. P., Jr.; Smith, D. T., and Grimson, K. S.: Sulfonamide Therapy in Actinomycosis: Two Cases Caused by Aerobic Partially Acid-Fast Actinomyces , Am. Rev. Tuberc. 49:395, 1944. 10. Binford, C. H., and Lane, J. D.: Actinomycosis Due to Nocardia Asteroides , Am. J. Clin. Path. 15:17, 1945. 11. Dobson, L.; Holman, E., and Cutting, W.: Sulfanilamide in the Therapy of Actinomycosis , J. A. M. A. 116:272 ( (Jan. 25) ) 1941. 12. Dobson, L., and Cutting, W.: Penicillin and Sulfonamides in the Therapy of Actinomycosis , J. A. M. A. 128:856 ( (July 21) ) 1945. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

ACTINOMYCOSIS DUE TO NOCARDIA ASTEROIDES: Report of Two Cases

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1946.00220050085005
Publisher site
See Article on Publisher Site

Abstract

Abstract SINCE aerobic types of Actinomyces may be highly pathogenic to man and are not so well known as the anaerobic Actinomyces bovis, the death of 2 patients infected with an aerobic variety appears worthy of record, not only because of the rarity of the organism, but also to emphasize the necessity of accurate diagnosis and vigorous therapy. In 1891, Eppinger1 reported the finding of an aerobic gram-positive, acid-fast actinomyces in cerebral abscesses and meningeal exudate of a man who became delirious and died in two weeks. This organism readily grew on ordinary mediums as small starlike colonies, due to the radiating filaments, and was named Cladothrix asteroides. It has since been known as Streptothrix eppingeri, Streptothrix asteroides, Oospora asteroides and Actinomyces asteroides, and is now called Nocardia asteroides.2 In 1921, Henrici and Gardner3 were able to collect but 26 reported cases of infections with aerobic acid-fast Actinomyces, and the causative References 1. Eppinger, H. L.: Ueber eine neue, pathogene Cladothrix und eine durch sie hervorgerufene Pseudotuberculosis , Beitr. z. path. Anat. u. z. allg. Path. 9:287, 1891. 2. Drake, C. H., and Henrici, A. T.: Nocardia Asteroides , Am. Rev. Tuberc. 48:184, 1943. 3. Waksman, S. A., and Henrici, A. T.: The Nomenclature and Classification of the Actinomycetes , J. Bact. 46:337, 1943. 4. Henrici, A. T., and Gardner, E. L.: The Acid-Fast Actinomyces, with a Report of a Case from Which a New Species Was Isolated , J. Infect. Dis. 28:232, 1921Crossref 5. Henrici, A. T.: Molds, Yeasts and Actinomycetes , New York, John Wiley & Sons, Inc., 1930, p. 249. 6. Baldacci, E.: Revisione di alcune specie del G. Actinomyces , Mycopathologia 1:68, 1938.Crossref 7. Goldsworthy, N. E.: Pulmonary Actinomycosis Caused by an Acid-Fast Species of Actinomyces. J. Path. & Bact. 45:17, 1937. 8. Kessel, J. F., and Goolden, E. B.: Comparison of Strains of Actinomyces Recovered from Human Lesions , Am. J. Trop. Med. 18:689, 1938. 9. Benbow, E. P., Jr.; Smith, D. T., and Grimson, K. S.: Sulfonamide Therapy in Actinomycosis: Two Cases Caused by Aerobic Partially Acid-Fast Actinomyces , Am. Rev. Tuberc. 49:395, 1944. 10. Binford, C. H., and Lane, J. D.: Actinomycosis Due to Nocardia Asteroides , Am. J. Clin. Path. 15:17, 1945. 11. Dobson, L.; Holman, E., and Cutting, W.: Sulfanilamide in the Therapy of Actinomycosis , J. A. M. A. 116:272 ( (Jan. 25) ) 1941. 12. Dobson, L., and Cutting, W.: Penicillin and Sulfonamides in the Therapy of Actinomycosis , J. A. M. A. 128:856 ( (July 21) ) 1945.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1946

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