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Article
October 5, 1895

ACUTE LACUNAR DIPHTHERIA OF THE TONSILS.

JAMA. 1895;XXV(14):558-560. doi:10.1001/jama.1895.02430400002001a

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Abstract

The writer has been induced to appear before your distinguished body to enlarge upon a theme previously brought to the notice of the profession, because he was convinced that the possible gravity of the apparently simple angina or lacunar tonsillitis was not yet generally accepted.

In a recent discussion upon the antitoxin treatment of diphtheria in the New York Academy of Medicine, one of the prominent speakers referring to bacteriologic diagnoses of diphtheria and especially those diagnoses which reveal the diphtheria not accompanied by membrane or parts of membrane in the throat, said that where the bacteriologic diagnosis of diphtheria, in the absence of clinical evidences, quarantines the house or separates a family from relatives and friends it is a sin against man. A further statement goes on to characterize the treatment of these mild cases in a diphtheria ward as a crime, etc. Another speaker while admitting that he

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