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Article
July 1939

MONTREAL MEDICO-CHIRURGICAL SOCIETY, SECTION OF OTO-LARYNGOLOGY

Arch Otolaryngol. 1939;30(1):128-141. doi:10.1001/archotol.1939.00650060136013

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Abstract

Pulmonary Abscess Following Tonsillectomy. Presented by Dr. L. J. Baker.  A girl aged 6 years had her tonsils and adenoids removed on June 17, under open ether anesthesia. The postoperative course to recovery was uneventful. On June 25 she was apparently healthy, and the tonsillar fossae were healing. On July 14 she was referred to the hospital with the following symptoms (1) fever of one week's duration, the temperature ranging from 100 to 102 F.; (2) explosive coughing; (3) foul-smelling greenish sputum, and (4) loss of weight and loss of appetite. Dulness and faint breath sounds were noted in the apex of the right lung, extending to the third rib. The clinical impression was abscess of the upper lobe of the right lung. Roentgenograms showed a shadow about 5 cm. in diameter, with a fluid level. Postural drainage was begun.After four days about 3 cm. of the right third

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