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August 6, 1927


Author Affiliations

Atlanta, Ga.

JAMA. 1927;89(6):450. doi:10.1001/jama.1927.92690060001011a

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L. P. M., a white man, aged 28, was referred to me, June 22, 1925, by a dentist, complaining with a sore throat for two or three days.

The patient had had the usual diseases of childhood. Tonsillectomy was done two years before. He had sore throat one year before, which was diagnosed diphtheria though a culture was negative; from 20,000 to 30,000 units of diphtheria antitoxin and some local applications to the throat were given. The condition cleared up in about a week. There was no history of syphilis.

The pharynx was inflamed and a small ulcer was seen on a piece of tonsil in the right lower fossa. There was some discomfort and swelling.

A clinical diagnosis of Vincent's angina was made and verified by laboratory observation of Vincent's bacillus and spirillum.

The patient was seen daily in the office and various applications and gargles were used,

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