A case of actinomycotic ulceration of the duodenum and jejunum

✍ Scribed by Sir W. I. de Courcy Wheeler

• Publisher: John Wiley and Sons
• Year: 1928
• Tongue: English
• Weight: 620 KB
• Volume: 15
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800155910

✦ Synopsis

So far a5 can be ascertained from the literature, ulceration of the duodenum or jejunum from actinomycotic infection is very rare. Details could not be found of any cases rcscmbling that which is briefly recorded in this communication. Yct actinomycosis of the buccopharyngeal region is quite common. The fungus gains access to the tissues in this situation through sniall abrasions during mastication, especially in the presence of defective teeth. Thcrc is a plentiful supply of the ray fungus in cereals and grasses. Fresh fruit and vegetables may be contaminated easily when packecl in straw.

It is interesting to spcculate on thc fact that thc lower jaw, the tonguc, and the peribuccal tissues are readily infected, and that the pharyns and trsophagus do not always escapc, and nevertheless the stomach arid small intestine are practically immune. Cope, quoting Poncet, states that the thorax is frequently infected by way of the ocsophagus, and that infection from the stomach and small intestine is almost unknown. It is suggested that the acid