Buffalo, N. Y., April, 27, 1901.
To the Editor:
—I was interested in the editorial on "General Secondary Infection in the Course of Chronic Pulmonary Tuberculosis." It is important to know that these secondary pyogenic infections occur in tuberculous cases, and they, more than the primary bacillary infection, have to do with many of the annoying symptoms, namely: chills, morning and evening rise of temperature, hectic flush, increasing pallor, night sweats, etc. Many remedies have been recommended to combat these symptoms, especially the night sweats, with but little effect. Some time ago, being interested in the subject of tonsillar infection, I saw, through the courtesy of Dr. Charles Carey, of Buffalo, a case in which, through a pyogenic infection of the tonsil, there followed a retropharyngeal abscess and a pyemia with many metastatic abscesses. Dr. Roswell Park opened the retropharyngeal abscess, but the metastatic ones appeared from time to time