[Skip to Content]
[Skip to Content Landing]
Other Articles
January 1926

DIPHTHERIA FOLLOWING TONSILLECTOMYLOCAL RESISTANCE AND GENERAL IMMUNITY TO DIPHTHERIA

Am J Dis Child. 1926;31(1):72-76. doi:10.1001/archpedi.1926.04130010079010
Abstract

The serious nature of diphtheria as a complication following tonsillectomy is due to the fact that the disease is likely to be overlooked until it is almost too late for antitoxin administration. Most of the mischief that can possibly result from the absorption of the toxin will probably already have taken place before the operator suddenly realizes that he has a fatal diphtheritic intoxication to deal with. The postoperative sloughing membrane following the removal of the tonsils closely resembles a diphtheritic pseudomembrane, and is, therefore, a source of great danger in overlooking the superimposed secondary diphtheria. The purpose of this paper is to emphasize this danger, to indicate the necessity of taking nose and throat cultures before operations on these structures, and to protect positive diphtheria carriers by a prophylactic dose of antitoxin. This precaution, of course, would not be necessary if the patient to be operated on had been

First Page Preview View Large
First page PDF preview
First page PDF preview
×