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== Clinical Summary ==
This 18-year-old black female felt well until one year before death, when she developed a persistent, progressive skin rash and weight loss. One month before death, draining abscesses appeared in the perirectal region. Biopsy showed actinomycosis. Despite treatment, the patient died.
== Autopsy Findings ==
Autopsy revealed a large abscess around the cecum which had ruptured. The perirectal abscesses had originated from extensions of this pericecal abscess.
== Images ==
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