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June 1943


Author Affiliations

Senior Assistant in Medicine, Montefiore Hospital PITTSBURGH

Arch Intern Med (Chic). 1943;71(6):844-853. doi:10.1001/archinte.1943.00210060105008

Septicemia may be due to a number of causes. It is important to determine the exact cause in order that proper treatment may be instituted. The purpose of this paper is to call attention to one cause of septicemia often overlooked by the physician, namely, septic phlebitis of the internal jugular vein or of one of its branches.1 This condition is usually called postanginal sepsis or postanginal pyemia2 because it almost always follows an infection of the throat. Failure to recognize this dangerous disease has resulted in many fatalities. Early diagnosis and operation may save the life of the patient.

Few reports of cases of postanginal sepsis are found in the American literature, although German and French observers have published many. Two cases are reported here to illustrate the clinical picture and the diagnosis of this entity.


Case 1.  —D. W., a white girl of