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Article
November 18, 1899

TONSILS AS PORTALS OF ENTRY OF TUBERCLE BACILLI.

JAMA. 1899;XXXIII(21):1299. doi:10.1001/jama.1899.02450730055014
Abstract

In our day the questions relating to the mode of spreading and the routes of infection of tuberculosis are discussed as eagerly as questions in the therapy of this disease. It is an accepted fact that the infection occurs most frequently through the inspired air, the primary lodgment taking place on or in the bronchial mucous membrane. Before the inspired bacilli reach the bronchi and the lungs they may, however, be arrested in a number of places, such as the mucous membrane of the nose, the pharyngeal and faucial tonsils, etc. Recently v. Scheibner1 examined a large series of faucial tonsils to see in what percentage a primary tuberculosis occurred. The result shows that in sixty tonsils examined histologically, with great care and detail, there were four cases of primary tuberculosis, of which three are regarded as due to aspiration and one to introduction of bacilli by way of

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