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December 6, 1902


JAMA. 1902;XXXIX(23):1462-1463. doi:10.1001/jama.1902.02480490034006

The article by Dr. Freeman in the present number of The Journal appears especially timely, since various writers have recently advocated earlier and more radical operative measures in the treatment of tuberculosis of lymph glands. Tuberculous cervical adenitis is a disease which comes under the physician's care with relative frequency, being especially prevalent among city children with unhygienic surroundings. Swelling of the cervical lymph glands is common in children as a sequel to various inflammatory processes in the nose, pharynx, mouth, tonsils, ears and scalp. The swelling may immediately follow a single acute disorder, but it is frequently due to repeated slight inflammations and chronic catarrhs of the nasopharyngeal mucous membranes. Such enlarged glands tend to disappear as the child becomes older. If tubercle bacilli gain entrance to these enlarged glands, they find favorable conditions for multiplication, and tuberculous adenitis is often implanted on a previous benign swelling. It is