Roentgen Treatment of Acute Cervical Lymphadenitis

Rosenberg, L. Charles

doi:10.1001/archpedi.1929.01930030071006

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…They emphasized that treatment at higher doses, especially in the 20-50% SED range tended to aggravate the inflammatory response and reduce the occurrence of a successful clinical outcome. 9,58 The clinical success of the x-ray treatment was consistently reported being in the 75-90% range across all investigations over a 16-year period. Table 5 compiles the SED reported in the treatment of cervical lymphadenitis.…”

Section: Historical Foundations: Cervical Adenitismentioning

confidence: 95%

“…(p. 299) Rathbone 57 ''If both the focal infection and the retropharyngeal swelling, usually an adenitis in the early stages, are treated promptly with roentgen therapy, a retropharyngeal abscess rarely develops.'' (p. 29) Rosenberg 58 ''Lawson 1 , in discussing this subject, emphasized the fact that too much attention was paid to malignant and allied conditions, to the utter neglect of some phases of radiology which would yield more satisfactory results. Much of the lack of enthusiasm for x-ray therapy at the present time is due to the poor results obtained when it was still in its infancy.…”

Section: References Quotesmentioning

confidence: 99%

“…2. After 1922, the number of treatments decreased markedly-four treatments of 50% SED (150 rad per treatment) Rathbone 57 10-20% SED (75-100 rad depending on age, repeated at least twice) Rosenberg 58 10-20% of SED (260 r) Schenck 9 First 21 patients-50% SED; remaining 84 patients-25% SED (125-140 rad)…”

Section: References Quotesmentioning

confidence: 99%

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Historical use of x-rays

Calabrese

Dhawan

2013

Hum Exp Toxicol

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Purpose: This article provides an historical assessment of the role of radiotherapy in the treatment of inner ear infections. Materials and methods: The research utilized a literature-based evaluation of the use of x-rays during the first half of the 20th century on the treatment of otitis media (OM), mastoiditis, and cervical adenitis and their impact on the occurrence of deafness. Results: X-Rays were consistently found to be effective as a treatment modality at relatively low doses, in the range of 10–20% of the skin erythema dose, rapidly reducing inflammation, and accelerating the healing process. The mechanistic basis of the clinical successes, while addressed by contemporary researchers, is evaluated in the present article in light of current molecular biology advances, which indicate that clinically effective low doses of ionizing radiation act via the creation of an anti-inflammatory phenotype in highly inflamed tissue. Conclusions: X-Ray treatment of OM, mastoiditis, and cervical adenitis was widely accepted in the first half of the 20th century by clinicians as an effective treatment when administered within an appropriate dosage range.

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Section: Historical Foundations: Cervical Adenitismentioning

confidence: 95%

Section: References Quotesmentioning

confidence: 99%

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Historical use of x-rays

Calabrese

Dhawan

2013

Hum Exp Toxicol

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Roentgen Therapy for Acute Cervical Adenitis

Schenck¹

1935

Arch Pediatr Adolesc Med

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The value of the roentgen ray in acute cervical adenitis is questioned by many. Curiously, those least acquainted with the procedure are the ones most doubtful of its efficacy. This situation is probably due to the association of the use of roentgen rays with the treatment of malignant and allied diseases, in which failures are apt to be common, to the paucity of references to this subject in the American literature and, finally, to the innate fear of members of the medical profession of the employment of irradiation in any malady less morbid than a malignant process. It is the purpose of this paper to report results with this form of therapy in acute cervical adenitis, in the hope, thereby, of encouraging other workers to record their experiences. Proper evaluation of this mode of treatment will then be possible.Many practitioners are of the opinion that in the management of a patient with acute cervical adenitis no treatment is as good as any. The frequent failures with the present types of treatment account for this laissez-faire attitude. It is well known (Griffith and Mitchell,1 Boil¬ ing2) that cervical adenitis in childhood frequently terminates in sup¬ puration. In reporting 109 cases of acute adenitis, 96 of which were cervical, Holt and Howland 3 stated that 62 per cent of them ended with abscess. Local applications of heat or cold, or of ointments, have apparently no influence in preventing this outcome, or in shortening the duration of the illness. Ultraviolet therapy has been used with doubtful success. The employment of tonsillectomy, also recommended,4 seems illogical, for by the time a child is subjected to this radical procedure the tonsils and adenoids may no longer be a factor in the etiology. Furthermore, the many instances of acute cervical adenitis in tonsillectomized children are proof that the tonsils and adenoids are not always the offenders. Granted that these tissues are actively infected, such unfavorable conditions are not ideal for surgical treatment.

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Tonsillectomy in the Treatment of Acute Cervical Adenitis in Children

Baum¹

1930

JAMA

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fïon, àt which time a beginning pneumonia of the left lower base occurred. The streptococcus was obtained from the blood stream on two successive days. The sanie organism was also found in the ear discharge.Green cocci were isolated from the throat, which was not acutely inflamed at the time the throat cultures were taken. Staphylococcus albus was the predominat¬ ing organism in the nose.The second case in which a hemolytic streptococcus was found in the blood stream (case 63) is a striking example of a bacteremia from an acute throat infection in which the diagnosis is substantiated by an autopsy:1 Richard K., aged 31/· years, was first seen April 24, at 1 p. m. by Dr. Louis W. Sauer because of repeated vomiting and two liquid evacuations. He had been indoors several days with a slight head cold but was taken on a rather long automobile ride the day before (April 23). That evening he ate a hearty supper, was playful, slept most of the night, and ate his breakfast the next morning" as usual. About 10 a. m. he vomited for the first time and retained nothing after that. The temperature was 101 F. ; the respirations were 28; the pulse was good. He was not in pain, could sit up, stand up and lie down. Examination made by Dr. Sauer at 1 p. m.

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Roentgen Treatment of Acute Cervical Lymphadenitis

Cited by 5 publications

References 2 publications

Historical use of x-rays

Historical use of x-rays

Roentgen Therapy for Acute Cervical Adenitis

Tonsillectomy in the Treatment of Acute Cervical Adenitis in Children

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