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March 1939


Arch Otolaryngol. 1939;29(3):553-556. doi:10.1001/archotol.1939.00650050587016

In this article we report a case of ulceration of the posterior pharynx caused by pressure necrosis due to a sharp-pointed anterior tubercle of the atlas.

REPORT OF A CASE  E. B., a 17 year old white girl, was referred to us from another city on Nov. 27, 1937, with the complaint of spitting up blood-streaked sputum. The history was that she awoke one morning in October 1937 with a sore throat, which gave her little concern until forty-eight hours later, when she was noticeably worse and hoarse. The school nurse found that there was some blood in the back of the throat and put her under the care of a local physician. He noted that she had a temperature in the afternoon of from 99.5 to 101 F. (mouth) and had her confined to bed, but while in bed she had no fever. She was suspected to have tuberculosis,