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Article
September 23, 1933

UNILATERAL CHOKED DISK DUE TO TONSILLAR INFECTION

JAMA. 1933;101(13):1017. doi:10.1001/jama.1933.02740380053027

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Abstract

To the Editor:  —"Amicus Plato sed magis amicus veritas." As much as I respect The Journal, I am opposed to the theory of focal infection. I hope that you will publish this letter on account of the two cases reported in The Journal, April 22, by Drs. Wilson and Darkes entitled "Unilateral Choked Disk Due to Chronic Tonsillar Infection."A few years ago the physician who hesitated to recognize the correctness of the theory of focal infection was considered a doubting Thomas. Doubt has crept into the minds of many since.

  1. My first objection is to using the word "due" without making clear the causal relationship between the choked disks and the foci of infection in the tonsils. The improvement after the removal of the tonsils is not sufficient as such a proof.

  2. Even elimination of all other causes for the choked disks would be insufficient as such a proof.

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