A TEXTBOOK OF ANATOMY

the view that they had based their opinion on the fact that Neumann had isolated staphylococci in some glands which suppurated. Most writers remark on the absence of suppuration. The presence of constipation which all observers have noted, plus the fact that the left side is usually first affected has lead to the theory of intestinal origin through lymphatic channels. Whilst many agree that the point of entry is possibly through the tonsil or pharynx, the glands are not as a rule affected in the same order as they are following tonsillar infection. Whilst most of the reported cases occur in children from five to fifteeen years of age, mild epidemics have been reported in which young adults have been affected.