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October 15, 1904


Author Affiliations


JAMA. 1904;XLIII(16):1143-1144. doi:10.1001/jama.1904.92500160001j

Spontaneous hemorrhage from the tonsillar region independent of traumatism or surgical measures, but as the result of destructive inflammation from a tonsillar or peritonsillar abscess, occurs but infrequently and in the majority of recorded cases the bleeding has resulted fatally. The following case is therefore recorded inasmuch as it presents several features of importance, namely, its successful issue without operative interference; the age of the patient and the harmful results following too conservative treatment of pus collections in or about the tonsils.

Mrs. A., aged 71 years, of excellent surroundings, had been ill for one week with a peritonsillar abscess of the left side.

History.  —She had never had any trouble with her upper respiratory tract so far as she could remember, this being her first attack of tonsillitis. Her family physician attended her and the treatment consisted of strychnia, nutritive enemata and gargling with an alkaline solution.

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