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April 1989

Microbiology of the Tonsils and Adenoids-Reply

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1989;115(4):528-529. doi:10.1001/archotol.1989.01860280126034

In Reply.—As stated clearly in our introduction, the purpose of our study was to "investigate the nature of the aerobic and anaerobic flora of core tonsil and adenoid tissue."1 We are well aware that anaerobic bacteria can be easily overlooked and misidentified unless appropriate procedures for transport, isolation, and identification are used. Our laboratory is fully equipped for the isolation, identification, and susceptibility testing of anaerobic organisms.

Brook and Foote claim that anaerobic bacteria have been found in the core of the tonsils by all previous investigators who "employed proper methodology for the isolation of these organisms." The reader should note carefully that seven of ten of the supplied references are from the primary author. In addition, the authors have neglected to mention that other reputable investigators have demonstrated the absence2 or paucity3,4 of anaerobes in core tonsil tissue.

In the course of our investigation, we followed highly

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