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February 28, 1903

Adenoids as a Route of Tubercular Invasion.

Author Affiliations

Surgeon, United States Marine-Hospital Service.

JAMA. 1903;XL(9):593-594. doi:10.1001/jama.1903.02490090041011

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Los Angeles, Cal., Feb. 16, 1903.

To the Editor:  —In Dr. Freudenthal's article on "Adenoids" in The Journal, Feb. 7, he says: "If, for some reason or other, the path of the tubercle bacillus downward is closed up, by adenoids or other causes, it makes its way to the cranial cavity, where a tuberculous meningitis, so frequent among children, is set up." Such a statement, coming from a man of Freudenthal's prominence, is likely to lead many into wrong conceptions regarding the method of infection in tuberculosis.Dr. Freudenthal is challenged to explain the anatomic route and steps of infection from the adenoid to the meninges or to any portion of the body, or to the lungs. A great many writers are advancing the theory that nearly all our tuberculous infections, even of the lungs, are through the tonsils or adenoid tissue. In this country Lartigau is the most prominent

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