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April 5, 1913


JAMA. 1913;60(14):1039-1042. doi:10.1001/jama.1913.04340140001001

It is probable that this disease has been observed under some name or form more frequently than has been reported. Prior to Reclus' publication and report, in 1893, of five cases which he denominated ligneous phlegmon of the neck, nothing seems to have been known of this severe, protracted and still little understood disease. Since that time professional interest has been enlisted and broadened, and in the last five or six years, especially, substantial additions have been made to the subject in case reports and contributions. Still the literature, though it is interesting and instructive, is not replete in quantity, nor entirely satisfactory as to etiology, bacteriologic findings and treatment.

These reports and investigations lead the way to a final explanation of the disease, which at the present time is the most interesting and unusual, if not curious and erratic, manifestation of infection, or inflammation, with which we have to