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Actinomycosis is a chronic, granulomatous disease of cervicofacial (55%), abdominal (20%), or thoracic (15%) location caused by Actinomyces israelii.1 It is often accompanied by copathogens such as Actinobacillus actinomycetemcomitans, which is also strongly associated with gingivitis.2
We report on a 9 year old boy who presented with a six week history of cough, weight loss, and malaise, but no fever. On physical examination he had …
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