Tuberculin in diagnosis and treatment : a text-book of the specific diagnosis and therapy of tuberculosis for practitioners and students / By Dr. Bandelier ... and Dr. Roepke.

  • Bandelier, B. (Bruno), 1871-1924.
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: Tuberculin in diagnosis and treatment : a text-book of the specific diagnosis and therapy of tuberculosis for practitioners and students / By Dr. Bandelier ... and Dr. Roepke. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    to be promising in the differentiation of active and inactive tuberculosis. Schellenberg [63] confirms this on the ground of detailed experiments; the strong positive iron-tuberculin reaction is not a guide to activity or inactivity of the disease; and the assertion that iron tuberculin does not call forth a reaction in latent or inactive tuberculosis is incorrect. ^ ... .. ^ The general verdict as to v. Pirquet's General Verdict ,. , , cutaneous reaction may be expressed in the most general form conceivable: Its Cutaneous Test, application may be extended to all the circumstances of general and hospital practice, for it is extremely simple for the physician and can be used at any time in con- sultation hours, and also in the case of feverish patients and those in bed. It is a perfectly harmless action, involving no danger and, carried out lege artis according to v. Pirquet's direction, works without causing any malaise, fever, local or general disturbance or complications of any kind. The real scientific and practical importance of the cutaneous tuberculin test is certainly limited to early childhood, to the first two or three years of life. Here it triumphantly proves itself to be a great and genuine discovery. It may also be successfully used in the investigation of tuberculosis in children of school age and leads to suitable hygienic prophylactic measures for the protection of the rising generation at home, in public, at school, &c. It is a diagnostic medium par excellence in children's practice, to which we will return later in a special chapter. But it is also true here that only the clinical condition in conjunction with the cutaneous reaction must decide as to the treatment of the individual case. In veterinary practice the cutaneous test is of no practical importance. Detre's ^n or<^er to differentiate cases of tuber- r^.rc .. .. r culosis Detre [64] modified v. Pirquet's Differentiations of , , , • , ,.«• 1 • 1 method by using three different kinas ot ' tuberculin for the cutaneous inoculation : Modified Test. ^ Koch's old tuberculin; (2) the filtrate from a culture of human tubercle bacilli; (3) the filtrate of a bovine culture. According to the appearance of the individual papules he then divides the cases into those susceptible to human and those susceptible to bovine bacilli. In this way Detre thinks it possible to come to a decision as to the nature of the infecting virus, and that the organism will react most powerfully to the toxin of that type of bacilli which has infected it. According to the results obtained by Detre, pulmonary tuberculosis, for