Journal of ophthalmology, otology and laryngology . This is equally true of stained smearsprepared direct from the nasal discharges of patients suffering fromla grippe. Some few years ago a slight epidemic of septic sore throat ap-peared in and around lioston. Several internes at the .MassachusettsHomeopathic I Iospital suffered from severe types of this particularinfection. The bacterial invasion extended from the tonsils, anterior 333 Chas. A. Eaton. and posterior pillars, out into the cervical glands, with deep abscessformation. Cultures from several of these abscesses revealed puregrowths
Journal of ophthalmology, otology and laryngology . This is equally true of stained smearsprepared direct from the nasal discharges of patients suffering fromla grippe. Some few years ago a slight epidemic of septic sore throat ap-peared in and around lioston. Several internes at the .MassachusettsHomeopathic I Iospital suffered from severe types of this particularinfection. The bacterial invasion extended from the tonsils, anterior 333 Chas. A. Eaton. and posterior pillars, out into the cervical glands, with deep abscessformation. Cultures from several of these abscesses revealed puregrowths of the micrococcus catarrhalis. Figure three represent- aculture obtained from a typical abscess of this epidemic. In obtaining cultures for diagnosis from the nose and throat, somedifficulty is often experienced in determining the predominatingbacterium which is responsible for a given infection. The vestibule ofthe nose always contains many varieties of micro-organisms which havebeen extracted from the inspired air. Unless care is exercised to. Fig. 2. Figure 2 represents a pure culture grown from pus shown in Fig. the vestibule prior to taking the culture from the deeperstructures of the nose, a mixed growth of uncertain and doubtfuldiagnostic value will result from nasal cultures. In case of throatcultures, much more satisfactory results follow routine cultures whenthe swabs are made directly against the tonsils and in their infections are known to extend upward from the throat throughthe agency of the adenoids, thus gaining access to the nasal , empyemata not infrequently follow direct extension of infectionfrom teeth, especially empyema of the antrum. Main of the acuteinfections of the nose and throat resolve themselves into chronic 334 The Pathology of Acute Infections of the Respiratory Tract. affections, resulting in discharging sinuses, infiltration of cells, andempyemata which are extremely stubborn. I recall the case of a letterca
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