Within recent years the tonsil has been recognized as a source of infection in a number of diseases, systemic and local. Its relation to pulmonary tuberculosis has been emphasized by various writers, and certain observers have traced a supposed direct extension of the infection from the tonsil through the lymphatics of the neck to the pleura and thence to the lung. Some studies bearing on this subject have been published recently by George B. Wood.1 An examination of the cervical glands of seventeen patients who had died of pulmonary tuberculosis showed a large percentage of glands involved, but no definite conclusions could be drawn as to the relative age of the lesions. An investigation of the anatomy of the lymphatic channels, however, leads him to believe that only exceptionally is there found a direct anastomosis of the deep cervical glands draining the pharyngeal region and the supraclavicular chain which
THE LYMPHATIC CONNECTION BETWEEN THE TONSIL AND THE PLEURA.. JAMA. 1908;LI(14):1160–1161. doi:10.1001/jama.1908.02540140042011
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