Tonsillectomy in the Treatment of Acute Cervical Adenitis in Children

Abstract

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.