PRIMARY ACTINOMYCOSIS OF THE KIDNEY

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Abstract
This case is reported because primary actinomycosis of the kidney is rare. Mrs. H. L., white, a resident of Chicago for forty-three years, entered the Presbyterian Hospital, Jan. 6, 1922, because of pain above the "left hip" radiating into the left thigh; anorexia, and general weakness. The symptoms were of two or three months' duration. Since November, 1921, she had lost 46 pounds (21 kg.). The symptoms were becoming progressively worse. There was nothing in the previous history that had any bearing on the case. The patient was small, emaciated and anemic. The general examination was negative except for a mass which could be felt in the left hypochondrium. This mass could be felt as well in front as behind. It was hard, fairly regular in outline, fixed and somewhat tender. The muscles lying over the mass posteriorly were tense; apparently this was due to muscular defense. The temperature, reaching

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