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February 18, 1933


Author Affiliations

Philadelphia. Chief Resident Physician, Mount Sinai Hospital.

JAMA. 1933;100(7):516. doi:10.1001/jama.1933.02740070054030

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To the Editor:  —In view of the report by J. O. Firth relative to acute iodism following a faulty iodized oil instillation (tracheal) in The Journal, January 14, it is interesting to note a case of an exactly similar nature that occurred in a young woman in the medical service of Dr. Abraham I. Rubenstone.At 10 a. m., January 13, Miss K., aged 22, in a good state of health, was prepared for a diagnostic study of the bronchi with iodized oil. The pharynx and hypopharynx were cocainized by topical application of 20 per cent cocaine hydrochloride solution. Twenty cubic centimeters of fresh, warm iodized poppy-seed oil 40 per cent was slowly injected at the base of the tongue and the patient requested to breath deeply. The procedure seemed to be progressing in the accustomed manner, with the exception that the patient was distinctly observed to swallow three times

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