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RETRO-PHARYNGEAL LYMPHADENITIS.Read in the Section on Laryngology and Otology, at the Forty-fifth Annual Meeting of the American Medical Association, held in San Francisco, June 5-8, 1894.

JAMA. 1894;XXIII(13):496-497. doi:10.1001/jama.1894.02421180014001e.
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It is now well established that retro-pharyngeal abscess arises ordinarily not in caries of the cervical vertebrÆ, but in the inflammation of the lymphatic glands which are imbedded in the posterior pharyngeal wall. Of 204 cases analyzed, Bokai placed 187 in this class, in contra-distinction to only 7 cases, secondary to caries of the vertebrÆ. Children are especially prone to inflammations of the lymphatic system. Cervical lymphadenitis is common among them. Frequently it is tuberculous, but often it is not, and usually the acute variety whether suppurative or non-suppurative, results from infection by a previously existing tonsillitis. So also with retropharyngeal abscess; it is most reasonable to regard it as a secondary infection of the pharyngeal lymphatics from inflammation of exposed and associated muco-lymphoid glands, like the faucial and naso-pharyngeal tonsils. In rare instances the source of infection may be rhinitis communicated through the nasal lymph channels or, still more


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