Publisher's Synopsis
Excerpt from Primary Diphtheria of the Lips and Gums
These considerations have led us to report two cases in which recently the bacillus diphtheriae has been isolated at autopsy from the membrane and exudate upon the gums and lips of two grown individuals. The appearances of the mem brane in one and the exudate in the other case were in no way typical of diphtheria, and the cases obtain an additional interest from the fact that durin g life the patients presented no symptoms referable to the presence of the Loef?er bacillus. No other focus of diphtheria existed in the body as far as could be determined. The pharynx and larynx were both free from exudate or membrane, and thus while it must be assumed that in these cases the diphtheria bacilli often reached the mucous membrane of the pharynx, it must be admitted that arriving there they did no damage. The instances of laryngeal diphtheria in which the bacillus diphtheriae can be found by cultures to be present upon the pharyngeal mucous membrane in the absence of any lesion in the latter situation are very well known.
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