October 1936

El problema de la infección focal de las amígdalas y su importanica en medicina: Prueba personal para el diagnóstico y técnica más conveniente para la amigdalectomía.

Author Affiliations

By Dr. Rafael Romero Rodríguez. Paper. Price, 7 pesetas. Pp. 165. Seville: Imp. de la "Divina Pastora," 1935.

Arch Intern Med (Chic). 1936;58(4):763. doi:10.1001/archinte.1936.00170140188011

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A page from Dr. Romero Rodríguez' clear, though brief, treatise on the tonsils and tonsillectomy when they are the site of focal infection, in which he notes the "100 per cent tonsillectomized portions of the United States" as "an exaggeration appropriate only to that country," might well be translated for the benefit of American tonsil specialists. His careful and time-consuming tests for the proof of tonsillar infection, local or focal, may seem unusual to the average American physician. In order to make a diagnosis of focal infection of the tonsils he depends on: (1) the bacterial examination of the caseous material expressed from the crypts, and (2) the test of Viggo Schmidt; a leukocyte count, and the temperature before and after a two minute massage of the tonsils with the finger. If the tonsil is healthy, massage produces leukopenia in about twenty minutes; when infection is present, leukocytosis and a

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