To the Editor: I have just read with interest the paper "Beta Hemolytic Streptococci in Tonsillar Tissue" by Dr. Saslaw and his associates in the January issue of the American Journal of Diseases of Children. Twenty years ago we published somewhat similar material (Rantz, L. A.: The Hemolytic Streptococci: Studies on the Carrier State in the San Francisco Area with Notes on the Methods of Isolation and Serological Classification of These Organisms, J. Infect. Dis. 69:248, 1941).
I believe that the author's suggestion that preliminary penicillin therapy before operation is advisable is unwarranted. In cooperation with our department of otorhinolaryngology we carried out detailed clinical studies of all patients from whom hemolytic streptococci were isolated from the tonsils during our studies in the 1940's. On no occasion was it possible to define a complication that resulted from the presence of hemolytic streptococci in the tonsils at the time of