Pyemia following acute tonsillar infections is not a rare occurrence, although only a few cases have been reported in the American literature. This is probably because this condition is not recognized, or is recognized too late. Frequently surgical procedures are carried out after the infection has extended beyond the venous system of the head and the neck.
According to Nussbaum,1 only fifty-eight cases of posttonsillar pyemia had been reported in the literature prior to 1927. In this group there were thirteen recoveries following ligation and excision of the jugular vein.
REPORT OF CASES
CASE 1.—C. W., aged 24, a plumber, a patient of Dr. Myerson, gave a history of severe sore throat, pain on swallowing, slight hoarseness and some aching in the limbs of four days' duration. His past history was irrelevant. Examination revealed an extremely ill young man. The tonsils were enlarged and covered with a thin grayish-white
RUBIN H. PYEMIA FOLLOWING ACUTE TONSILLAR INFECTIONS. Arch Otolaryngol. 1933;17(2):183–196. doi:10.1001/archotol.1933.03570050170004
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