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Updated: May 15, 2025
At some of our large health-resorts, where great numbers of cases of rheumatism are treated, it has been discovered that if a case of common cold, or tonsillitis, happens to come into the establishment, and runs through the inmates, nearly half of the rheumatic patients attacked will have a relapse or new seizure of their rheumatism.
Gannon is chief of a hospital. Yet Alice Paul and I found we had been taking baths in one of the tubs here, in which this syphilitic child, an incurable, who has his eyes bandaged all the time, is also bathed. He has been here a year. Into the room where he lives came yesterday two children to be operated on for tonsillitis. They also bathed in the same tub.
He perspires little, even after exertion, yet fatigues easily, is subject to frequent colds, adenoids, tonsillitis, and acquires every disease of childhood that happens along. Adolescence, the coming of menstruation, the first blooming of youth is delayed in the subthyroid. The secondary sex traits as they develop tend to be incomplete and to mimic those of the opposite sex.
It is not sufficiently recognized that chronic, slow-going infection can injure the heart. Such infections most frequently occur in the tonsils, in the gums, and in the sinuses around the nose. Tonsillitis, acute or chronic, has been shown to be a menace to the heart. Acute streptococcie tonsillitis is a very frequent disease, and the patient generally, under proper treatment, quickly recovers.
It may also follow a follicular tonsillitis or some infection of the mouth or throat with or without arthritis. Tuberculosis may also occasionally cause an endocarditis. Organisms may be found in a terminal simple endocarditis due to a chronic disease, as tuberculosis or cancer; such inflammations may have been caused by circulating toxins.
It is not sufficiently recognized that a subacute arthritis, recurring tonsillitis, open and concealed infections in the mouth, and even a condition of the system with acute, changeable and varying joint and muscle pains may all develop a mild endocarditis, even with subsequent valvular lesions.
Webster to come this morning instead of this afternoon to look after Hugh, and then you and I can do the rest." But alack! Mrs. Webster's sister answered the 'phone she was very sorry, her sister was in bed with tonsillitis and she had just sent for the doctor it would be a week or two, anyway, before she could come back to look after the baby.
The germ that causes rheumatism has strains which produce simply tonsillitis, and others which, instead of attacking joints, tend to attack the valves of the heart. Our recent knowledge suggests that somewhat the same thing is at work in syphilis. Certain strains of Spirochæta pallida tend to thrive in the nervous system, others perhaps in the skin.
Very interesting, also, was my experience about a week following this when, casually reciting this little girl's dream, its significance and her conduct, to an old lady whom I know very well, I found that she too was presenting all the signs of emotional upset, for, as I proceeded with my recital, tears gradually came to her eyes, her face assumed a suppressed crying expression, she tried to smile through her tears, and finally, unable to control her emotions, she broke out into a free and unrestrained weeping spell, following which I learned from her that the recital of this girl's condition, her dream and its meaning, recalled to her mind her darling daughter, a noble girl of sixteen years of age, who had died some fifteen years ago, after a long period of incapacitation and a miserable existence brought on by tonsillitis, chorea, rheumatism and, finally, heart disease, with all the extreme signs and symptoms of broken cardiac and renal compensation.
The characters of the lymphadenitis vary with the nature of the irritant. Sometimes it is mild and evanescent, as in the glandular enlargement in the neck which attends tonsillitis and other forms of sore throat.
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