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May 1941


Author Affiliations

From the otolaryngological services of the St. Joseph, Research, General and Mercy hospitals.

Arch Otolaryngol. 1941;33(5):717-724. doi:10.1001/archotol.1941.00660030727005

Among the many diseases of childhood, acute streptococcic laryngotracheobronchitis remains one of the least understood. Because of the infrequent and sporadic appearance of the disease there is much to be learned concerning the diagnosis, causes and management of the condition. The existence of the infection as a disease entity was recognized over one hundred years ago, in 1823, by the Frenchman, P. Blaud.1 However, subsequent medical literature shows a surprisingly meager accumulation of new information about this disease as compared with the ever expanding knowledge of other respiratory infections.

The confusing clinical picture usually masks the original condition, with the result that the true identity of the infection is entirely overlooked. Its occurrence during epidemics of influenza and its close resemblance, in any one of its various stages, to diphtheria and pneumonia account for much of the confusion associated with the proper diagnosis and treatment of the disease.2 The discrepancy