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Of all diseases of childhood, laryngeal diphtheria or membranous croup is the most dreaded. Either the larynx is primarily the seat of affection or is secondary to tonsillar diphtheria. Sometimes the affection in both organs is simultaneous, or the post nares or tonsils have had a deposit which so rapidly spread to the larynx that the primary seat of infection was overlooked by parents until threatened asphyxiation called their attention to the fact that their darling was in danger and they sent post haste for medical aid. Whether the cause of membranous croup was identical with that of diphtheria or not, was for years a bone of contention in medical ranks. Volumes were written on the subject and differential diagnosis was a bugbear to the general practitioner. Gradually the profession became divided; one side believed in the duality of the disease and the other in the unity; and discussions pro
VON QUAST E. TRACHEOTOMY IN DIPHTHERIA IN CONJUNCTION WITH ANTITOXIN. JAMA. 1898;XXX(15):857–858. doi:10.1001/jama.1898.72440670045002l
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