In Colorado everything pertaining to tuberculosis is of such importance that I have no hesitation in presenting this subject for your consideration, particularly as it has not been previously discussed in this society-so far as I am aware.
The neck, as a whole, contains several hundred lymph glands, some of them superficial and some deep. Although their distribution is general, they exist principally in definite groups. Certain of these groups are particularly liable to tubercular disease, owing to their close connection with the entrance points of infection, such as the tonsils, teeth and pharynx. Chronic otitis, eczema of the scalp, ophthalmia, and various nasal troubles are also sources of infection, while in isolated instances germs may be deposited from the blood or ascend from the bronchial lymphatics.It is a progressive disease, one gland sooner or later infecting others, a point of importance in selecting a rational form
FREEMAN L. THE TREATMENT OF TUBERCULAR GLANDS OF THE NECK.. JAMA. 1902;XXXIX(23):1429–1432. doi:10.1001/jama.1902.52480490001001
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