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THE PATHOGENESIS OF ASPIRATORY ABSCESS OF THE LUNG:  ITS POSSIBLE RELATION TO ABSCESS OF THE LUNG FOLLOWING TONSILLECTOMY

JOSEPH HARKAVY, M.D.
Arch Intern Med (Chic). 1929;43(6):767-784. doi:10.1001/archinte.1929.00130290038002.
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Pulmonary suppuration following tonsillectomy occurs with sufficient frequency to arrest the attention of both the surgeon and the internist, but the exact method of its development is still in dispute. Aschner,1 who studied the different types of pulmonary suppurative lesions encountered in the human being in the material obtained from resections of the lobe performed by Lilienthal, differentiated the following types: (1) bronchiectasis; (2) bronchiectatic abscess; (3) suppurative pneumonitis, and (4) extrabronchial abscess. Groups 3 and 4 frequently merge into each other, as areas of suppurative pneumonitis may break down and develop into a large extrabronchial abscess. It is the bronchiectatic abscess group which was of particular interest in the present investigation, as in each of the ten cases studied by Aschner this condition followed the operative removal of the tonsils and adenoids under general anesthesia. In one of the four cases of suppurative pneumonitis, the condition developed a few

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