May 10, 1913


Author Affiliations

Clinical Assistant in Medicine, Lakeside Hospital; Medical Inspector in Public Schools CLEVELAND, OHIO

JAMA. 1913;60(19):1412-1413. doi:10.1001/jama.1913.04340190006003

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Notwithstanding the numerous articles on diphtheria in the various journals during the past two years, little or no mention is made of the atypical pharyngeal cases, A great deal has been published on typical clinical diphtheria, and on the carrier, his menace to the community and the methods of freeing such individuals from the bacillus. A rather complete examination of the literature of the past two years discloses no cases paralleling three that have come under my observation.

We are apt to think of pharyngeal diphtheria as being a disease of sudden onset with general malaise, hyperemic throat in which a membrane rapidly forms, and finally terminates after a severe course. Once an exudate has appeared on the tonsils it is generally held that membrane formation progresses actively unless antitoxin is given. In Osler's "System of Modern Medicine" we find the following:

Pharyngeal diphtheria commences with a feeling of chilliness,

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