This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (7)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

George E. Ehrlich, MD

JAMA. 1978;240(6):563.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It has been claimed that each generation needs its own biographies of historical personages retold in its own terms. The dictum may hold true for medical problems as well. As we make inroads into an understanding of various idiopathic diseases, we may lose sight of the real continuation of infectious diseases, especially those that are not too common, too acute, or too easily thought of.

Fungal infections are among those not usually recognized. Some, like mycetoma, tend to be monoarticular, producing grotesque disfiguring swelling through which sinus tracts burrow. Actinomycetes are chiefly responsible, including Madurella, Phialophora verrucosa, and Allescheria, the last-named most often guilty of producing this disorder in the United States.¹ The local introduction into the skin, chiefly in people working outside in hot areas, is probably responsible. Those who see many cases in tropical countries think of the diagnosis. The occasional occurrence in the temperate climates makes . . . [Full Text PDF of this Article]

Author Affiliations
Albert Einstein Medical Center Philadelphia

Footnotes
Address editorial communications to the Editor, 535 N Dearborn St, Chicago, IL 60610.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?