An examination of the American literature for the past year shows very few reported cases of this disease. Undoubtedly, however, Vincent's angina is not so rare as this fact might lead one to think, and I have no doubt but that a positive diagnosis of this condition would be made much more frequently if, in addition to cultures, microscopic smears were made directly from the pseudomembrane. The well-known difficulty of making cultures of the two symbiotic organisms which are found in the lesions of this disease are sufficient cause for lack of reports. Positive diagnosis of Vincent's angina can not be made without a microscopic examination of smears made from tonsillar exudates. According to descriptions of this disease, the case to be reported is typical of the diphtheroid type:
History.
—The patient, a woman of 22, a bank stenographer by occupation, had had diphtheria once, seven years before the present