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August 1932

TONSILLECTOMY: ITS EFFECT ON THE INCIDENCE, SEVERITY AND COMPLICATIONS OF SCARLET FEVER AND ON THE NUMBER OF HEMOLYTIC STREPTOCOCCI IN THE THROAT

Author Affiliations

ROCHESTER, N. Y.
From the Department of Pediatrics of the University of Rochester School of Medicine and Dentistry and the Strong Memorial Hospital.

Am J Dis Child. 1932;44(2):279-286. doi:10.1001/archpedi.1932.01950090017002
Abstract

Since the throat is the site of the primary, if not the most important, lesion in scarlet fever, it is reasonable to suppose that the tonsils play an important rôle in this disease. In this article, an attempt is made to study particularly the effect of tonsillectomy on the incidence, severity and complications and on the occurrence of hemolytic streptococci in the throat during the course of the disease.

In 1930, by actual examination, the incidence of tonsillectomy among 36,038 school children from 5 to 14 years of age was determined.1 The group represented 52 schools and was a fair sample of the city of Rochester. The percentage of children operated on varied according to the school, the lowest percentage being 19, and the highest 64. The incidence of tonsillectomy also varied with social status, being highest among the well-to-do and the clinic clientele and lowest among the middle

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