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Article
August 1946

NASOPHARYNX IN AN EPIDEMIC OF STREPTOCOCCIC INFECTION

Arch Otolaryngol. 1946;44(2):202-206. doi:10.1001/archotol.1946.00680060219009

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Abstract

THE RECENT epidemic of throat infection with group A, type 17, beta hemolytic streptococcus at Amarillo Army Air Field, Texas, presented interesting nasopharyngeal findings as seen with the nasopharyngoscope. A brief description of the ear, nose and throat complications that occurred in the epidemic is essential for evaluation of the nasopharyngeal study.

The offending organism was almost completely resistant to sulfonamide compounds but was sensitive to penicillin. The infections with the A 17 streptococcus flourished in spite of prophylactic treatment with sulfadiazine of all personnel on the field. Prior to and during the epidemic the sulfadiazine prophylaxis program reduced infections by other strains of streptococcus to near zero.

CLINICAL PICTURE  During the epidemic most of the patients with throat cultures positive for the A 17 streptococcus who were admitted to the hospital had severe respiratory infections or sore throats. Many of them had scarlet fever. The otitis media, the sinusitis

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