alate, and uvula. It is often
met with in those who are much exposed to air contaminated with
organisms--for example, patients who have been long in hospital, or
the resident staff of hospitals (_septic_ or _hospital throat_), and
particularly in persons of a "rheumatic" tendency. There is slight
pain on swallowing, and a tickling sensation passes along the
Eustachian tube to the ear; the throat feels dry, and the patient has
a constant desire to clear it, and there is usually a rise of
temperature to 101 deg.-102 deg. F. As a rule the symptoms pass off in three
or four days, but the condition may spread along the Eustachian tube
to the ear, and interfere with hearing, or it may set up chronic
suppuration of the middle ear.

A similar condition of the pharynx is frequently one of the initial
symptoms in acute febrile diseases, such as scarlet fever, measles,
influenza, or acute rheumatism.

The _treatment_ of the throat affection consists in employing
antiseptic and soothing gargles, inhalations of chloride of ammonium,
or a spray of peroxide of hydrogen, menthol, or eucalyptol. Lozenges
or pastilles containing chloride of ammonium, chlorate of potash, and
cubebs may be employed. In rheumatic cases, salicin, aspirin, and
salicylate of soda are indicated.

In _follicular tonsillitis_, the infection first implicates the
lymphoid follicles. The crypts are distended with yellowish-white
plugs, composed of inflammatory exudate, leucocytes, and desquamated
epithelium, and these may project from the openings, giving the tonsil
a spotted appearance. Sometimes the exudate accumulates on the surface
of the tonsils and pharynx, forming a thin, greyish-white film, which
is liable to be mistaken for the false membrane of diphtheria. It can,
however, usually be wiped off, and when examined microscopically does
not contain the typical Loeffler's bacillus.

The tonsils are enlarged, and project so that they obstruct the
isthmus of the fauces, sometimes even meeting in the middle line.
There is pain on swallowing, and the respiration is impeded and noisy
during sleep. There is usually some degree of fever, and the glands
behind the angle of the jaw are enlarged and tender and may suppurate
and set up cellulitis. The acute symptoms usually subside in four or
five days, but if the deeper crypts are filled with plugs of exudate
the condition may prove obstinate. The patient is liable to periodic
attacks, particularly if the tonsils ar