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ARTICLE |

A CASE OF BLACK TONGUE.

HUGO A. KIEFER, M.D.
JAMA. 1906;XLVII(5):362. doi:10.1001/jama.1906.25210050046003d.
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ABSTRACT

Patient.  —J. G., aged 21, a Servian by birth, and a cook by profession, was admitted to the hospital Feb. 6, 1906, suffering from a severe attack of quinsy, which had set in six days previously.

Examination.  —On the day of admission, examination showed the entire dorsum of the tongue to be covered by a thick, tough, grayish-white membrane, which was closely adherent. It was possible to remove only small particles, which left no raw surface. The entire surface of the soft palate, the pillars of the fauces, and the tonsils were covered with minute patches of grayish-white membrane easily removable and leaving no erosions. A very large peritonsillar abscess on the left, together with the swelling of the fauces on the right, shut off a view of the oropharynx.

Treatment.  —The abscess was incised and evacuated, yielding over one-half ounce of pus not differing in gross appearance from that

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