Shimada M, Kotani T, Ohtaki S, Tateno S, Tanigawa H, Katsuki T
Jpn J Surg. 1986 Jul;16(4):302-4. doi: 10.1007/BF02470942.
A 50-year-old Japanese man had had abscesses and draining fistulas in the perianal region. These lesions recurred, despite surgical treatment such as incision and drainage over a 30 year period. "Sulfur granules" were found in the pus from the abscess and Actinomyces israelii was cultured. Ampicillin-cloxacillin treatment lead to healing. The patient died 4 months later with a hepatoma and multiple metastases.
