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JAMA. 1898;XXX(11):595-596. doi:10.1001/jama.1898.72440630021001i.
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Peritonsillitis, quinsy, phlegmonous pharyngitis, pharyngitis abscedens, peritonsillar abscess, parenchymatous tonsillitis and the other names under which this condition is described matter little, but to find the cause and relief of this frequent and most painful throat affection is of immense importance to those suffering from it. Schech classes it, next to tuberculosis, the most painful.

It is without doubt of bacterial origin. Cold, rheumatism, gout, trauma, in fact anything which lessens the resistance of the tissues, may predispose to, but not act as the exciting cause. Rheumatism, cold, trauma, etc., do not go on to suppuration unless accompanied by some member of the great family of bacteria; here we probably have a streptococcus. The tissues involved have been by many writers very loosely considered. Some state that the glandular tissue is primarily involved, the inflammation extending to the surrounding tissue. It is even described as parenchymatous tonsillitis. Others claim that


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