ON THE PHAGOCYTES OF THE ALIMENTARY CANAL. 499 
1a 
The pathology of the tonsils has not attracted sufficient 
attention as yet, in spite of the fact that clinicians know that 
many of the local infectious processes in the neck, and some 
general septic diseases, follow on primary inflammation of the 
lymphoid organs of the mouth. Although Ludwig! in his 
paper on cellulitis of the neck did not state that this was 
often secondary to primary disease of the tonsils, Cnopf* 
showed in 1849 that the pathological condition known as 
angina Ludovici was frequently preceded by inflammation of 
these lymphoid organs. Von Thaden® in 1872 also noticed 
this sequence of events. Bickel* believed that the lymphoid 
tissue of the throat arrested infectious processes, and he tried 
to show that to this arrest was due the great number of 
infectious processes localised in these parts, and in the por- 
tions of the pharynx possessing a large amount of lymphoid 
tissue. Trousseau, using his characteristic descriptive lan- 
guage, said that infectious disease loved the throat. 
Though a septic process may begin and end in the tonsils, 
it is sometimes followed by a general infectious disease. 
Bergen,’ as early as 1757, noticed that in some epidemics of 
tonsillitis inflammation of the testicles came on, after that of 
the lymphoid organs of the mouth. In 1880, Professor 
Bouchard® stated that he had on four occasions seen tonsillitis 
followed by infectious nephritis, the urine in two cases con- 
taining numerous micro-organisms. In one case the patient 
fell into a typhoid state and died. Bouchard has also noticed 
temporary albuminuria during the course of tonsillitis. Mr. 
Berkeley Hill’ has recorded a case of angina Ludovici with 
tumefaction of the left tonsil which was accompanied by 
1 Ludwig, ‘ Wirt. Corr. Blatt.,’? 1836, t. iv, No. 4. 
? Cnopf, ‘ Deut. Klinik von A. Joschen,’ 1849. 
3 v. Thaden, ‘Schmidt’s Jahrbiicher, 1872. 
4 Bickel, see Balme, ‘ Thése de Paris, 1888. 
° Bergen, ‘ Nova acta phys. nat. curiosorum,’ t. i, 1757. 
® Bouchard, ‘ Legons sur les maladies de la nutrition,’ lre édition. 
7 Berkeley Hill, ‘ Brit. Med. Journ.,’ 1881. 
