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July 1943


Arch Otolaryngol. 1943;38(1):69-70. doi:10.1001/archotol.1943.00670040078010

This case is presented because of the comparative rarity of the condition and to show the necessity of a proper differential diagnosis.

REPORT OF A CASE  History.—An Italian girl aged 17 was admitted to the surgical service of the Coney Island Hospital on Nov. 17, 1941, with a diagnosis of peritonsillar abscess. Cursory inspection of the mouth and pharynx appeared to confirm such an opinion, but after careful examination a diagnosis of leukemia was made. Such a mistake in diagnosis has not been uncommon—so much so that a leukemic infiltration has often been incised for a peritonsillar abscess.The chief complaint was pronounced swelling of the left side of the face and neck for one week, with increasing inability to talk and swallow. The family and the previous personal history were without significance. Her present complaint started about one month before with symptoms referable to the upper respiratory tract. At

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