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October 5, 1918


JAMA. 1918;71(14):1159. doi:10.1001/jama.1918.02600400059022

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To the Editor:  —In The Journal, Sept. 21, 1918, p. 968, there appears a "Report of a Case of Primary Tuberculosis of the Faucial Tonsils" by Major Oertel and Captain Griot. Without going into the subject of primary tuberculosis of the faucial tonsils, I should like to call attention to the fact that the report is far from convincing. As a matter of fact, it is rather self-contradictory. From the physical examination it would appear that the patient in question was suffering from advanced tuberculosis of the larynx and pulmonary tuberculosis. The laryngeal condition would indicate disease of rather long standing. The lung signs, although limited do not preclude the possibility of more extensive disease of. long duration. The laboratory report by no means clinches the diagnosis and describes nothing characteristic. That the mucus recovered from the larynx showed the presence of tubercle bacilli would further indicate very conclusively the

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