remain unsuspected in such a case is thus perfectly understandable and reflects no discredit on the clinical acumen of any physician. But we do feel that it was a pity that, in the absence of any attempt at bacteriological confirmation, Case 12 was written off as " streptococcal tonsillitis." This diagnosis made-as, in our experience, it not infrequently is-with the unaided senses is not merely a delusion of muddled minds, it is a dangerous snare which by the mesmeric influence of a jargonistic label closes the mind to the possibility of reappraisal. " Tonsillitis " is a perfectly valid clinical diagnosis; only the laboratory can ascribe to it a specific aetiology.
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Richard S. Crow (1960) studied this question.
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