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To the Editor:
—In The Journal, September 21, there appeared a "Report of a Case of Primary Tuberculosis of the Faucial Tonsils" by Major T. E. Oertel and Capt. George A. Griot of Camp Logan. Texas. I am sure that on further study of this case the authors would not report it as one of primary tuberculosis of the faucial tonsils. That it was one of tuberculosis could not be questioned; but the history of the case, as given, would certainly lead us to class it as one of secondary tuberculosis following an infection in the lungs. The fact that the larynx and trachea showed such marked tuberculous changes would certainly preclude the possibility of knowing which: was the first to be affected. My observations do not lead me to believe in even primary tuberculosis of the larynx, and I am sure it would be difficult to find a case
Roy D. "REPORT OF A CASE OF PRIMARY TUBERCULOSIS OF FAUCIAL TONSILS". JAMA. 1918;71(14):1159-1160. doi:10.1001/jama.1918.02600400059023