SOAP AS A THERAPEUTIC AGENT

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A local tonsillectomy was done by the dissection and snare method with no complications. The tonsils were sent to the laboratory for analysis. The report was simple hyperplasia; no spirofusiform bacilli were found. About ten days after the operation his throat was clear and he had no symptoms or other complaints.

CASE 5. –

J.G., male age 36 years, a presser, with a diagnosis of acute follicular tonsillitis. Right, peritonsillar abscess, bronchial asthma and left inguinal hernia. He gave a history of having suffered from asthma on and off for six years and has had hernia since a boy. His present illness began two weeks previously with a cold and sore throat, which has been getting worse. His fever went up, his difficulty in breathing and asthma increased and the pain in his throat became so bad that he could not swallow.

He also complained of pain in the chest. Examination showed no nasal discharge, septum deviated, mucosa reddened, teeth good, tongue moist and coated, pharynx injected and congested, tonsils cryptic and full of purulent exudate. There was bulging of the tonsil towards the midline of the throat and both pillars of the tonsil and uvula were involved. Tonsillar glands of the neck on both sides were enlarged and tender. Consultation was called on the third day.

Fluctuation at this time was not yet present, so we advised that all medication and gargles be cut out and that the patient be put only on a soap solution gargle in the dilution of 1.250. His temperature, which had reached 104, dropped overnight to 98.6 on the fourth day. It rose to 102 that evening and came down to 99 the morning of the fifth day and remained normal until the seventh day, at which time the patient was discharged. Smears showed the streptococcus and staphylococcus. His throat was entirely negative on the day of discharge.

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