The occurrence of a pseudomembrane on the mucosa of the nose, pharynx, mouth and adnexa of infants, caused by the pneumococcus and associated with grave prostration, presents as definite a clinical entity as diphtheritic nasopharyngitis. The physical findings in this condition so closely resemble those of diphtheria that differentiation can take place only through bacteriologic examination of mucosal exudates. It is significant that in all the cases that I am reporting the patient had been treated for diphtheria before more detailed investigations were made.
Woody and Kolmer,1 in 1911, described the findings in seventy-four cases of pneumococcus nasopharyngitis. They divided them into three groups as follows: (1) cases with well marked tonsillar exudates, (2) cases showing redness and edema of the parts without an exudate and (3) a rare type characterized by perforating ulcer of the soft palate and ulcers of the buccal mucosa. They stated that the
FOX N. PNEUMOCOCCIC MEMBRANOUS NASOPHARYNGITIS IN INFANTS. Arch Otolaryngol. 1932;15(3):426–434. doi:10.1001/archotol.1932.03570030444009
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