
NEW YORK DERMATOLOGICAL SOCIETY
J. Gardner Hopkins, M.D.;
A. Benson Cannon, M.D.
Arch Derm Syphilol. 1942;46(1):161-171.
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Nocardiosis. Presented by DR. HOWARD FOX.
R. N., a boy aged 16 months, was referred for consultation by Dr. Else Barthel. He was first seen by me on Oct. 15, 1941 and showed a pustulosquamous rash on the scalp, about the ears and on the abdomen. There was no erythema surrounding the lesions. On the hard palate and surrounding the anus there was a fungating gray growth with an ulcerating surface. There were small lesions at the gingival borders which were covered with necrotic membrane and bled easily on slight trauma. They caused no appreciable pain or tenderness.
The baby looked sick because he had had a rise of temperature and leukopenia following the administration of sulfanilamide. This had been used in the treatment of Vincent's organisms in the mouth. After the reaction subsided the baby looked and acted well. No further Vincent's organisms but numerous grampositive cocci and
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