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Article
November 30, 1918

THE TONSILS AS FOCI OF INFECTION IN STREPTOCOCCUS HEMOLYTICUS CARRIERS

Author Affiliations

Lieutenant-Colonel, M. C., U. S. Army; Major, M. C., U. S. Army WASHINGTON, D. C.

From the Laboratory Service and the Ear, Nose and Throat Section of the Surgical Service of the Walter Reed General Hospital, Washington, D. C. In this work the writers were assisted by: Capt. C. O. Stimmel, Capt. William H. Huntington, Lieut. S. A. Alexander and Lieut. E. Sturm.

JAMA. 1918;71(22):1813-1814. doi:10.1001/jama.1918.26020480001009
Abstract

The study of hemolytic streptococcus infections, which has been stimulated by the Army experiences of last winter, naturally includes the subject of carriers. We have done some work in this field and are convinced that the tonsils play a part that should be emphasized. It has already been shown that throat swab cultures demonstrate the presence of hemolytic streptococci in various percentages of individuals and that hemolytic streptococcus complications, for example, in measles, occur only in those with positive throats.1 Throat swab cultures for hemolytic streptococci, therefore, have a practical value in the maintenance of clean and infected wards which has been confirmed by experience at this hospital.

INFECTION OF THE TONSILS  With the established importance of positive throat cultures as a starting point, our attention was directed toward localizing the focus of infection if there is one. For this purpose we made swab cultures in positive throat cases

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