It is not very uncommon for patients with mild forms of diphtheria to
walk about and attend to their usual duties and, if children, to go to
school, and in that inviting field to spread the disease. These cases
may present a white spot on one tonsil, or in other cases have what
looks to be an ordinary sore throat with a simple redness of the
mucous membrane. Sore throats in persons who have been in any way
exposed to diphtheria, and especially sore throats in children under
such circumstances, should always be subjected to microscopical
examination in the way we have alluded to before, for the safety of
both the patient and the public.
There is still another point perhaps not generally known and that is
the fact that the germs of diphtheria may remain in the throat of a
patient for weeks, and even months, after all signs in the throat have
disappeared and the patient seems well. In such cases, however, the
disease can still be communicated in its most severe form to others.
Therefore, in all cases of diphtheria, examination of the secretion in
the throat must show the absence of diphtheria germs before the
patient can rightfully mix with other people.
Gargling and swabbing the throat with the (poisonous) solution of
bichloride of mercury, 1 part to 10,000 parts of water (none of which
must be swallowed), should be employed every three or four hours each
day till the germs are no longer found in the mucus of the tonsils.
=HOARSENESS= (_Acute Laryngitis_).--This is an acute inflammation of
the mucous membrane of the larynx. The larynx is that part of the
throat, in the region of the Adam's apple, which incloses the vocal
cords and other structures used in speaking. Hoarseness is commonly
due to extension of catarrh from the nose in cold in the head and
_grippe_. It also follows overuse of the voice in public speakers and
singers, and is seen after exposure to dust, tobacco, or other smoke,
and very commonly in those addicted to alcohol.
Public-domain text, read in full here on John Shaqi.
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