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Article
November 1934

AGRANULOCYTIC ANGINA: FURTHER REPORT ON A CASE WITH FATAL OUTCOME FOLLOWING ORAL SURGICAL TREATMENT

Author Affiliations

CINCINNATI

Arch Otolaryngol. 1934;20(5):665-667. doi:10.1001/archotol.1934.03600050052004
Abstract

In the report in a previous issue1 of a case of agranulocytic angina with apparent recovery, the word "apparent" was used advisedly, since it is my belief, based on the observation of a series of cases, that patients suffering from this disease, although sometimes brought back to a state of apparent good health following medication, are nevertheless always subject to recurrences if circumstances favoring such recurrences occur. The present report brings evidence to support this view.

REPORT OF A CASE  History.—Mrs. J. E. H., white, aged 52, presented at the time of her first admission on Nov. 24, 1931, the classic picture of agranulocytosis as first described by Werner Schultz, with necrotic lesions of the mucous membrane of the mouth and nasopharynx. The blood count at the height of her illness showed: white blood cells, 758; metamyelocytes, 12 per cent; staff cells, 2 per cent; segmented neutrophils, 2

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