The Friedmann treatment for tuberculosis : a report of the board appointed for its investigation / by John F. Anderson and Arthur M. Stimson.

  • John Fleetezelle Anderson
Date:
1914
Catalogue details

Licence: In copyright

Credit: The Friedmann treatment for tuberculosis : a report of the board appointed for its investigation / by John F. Anderson and Arthur M. Stimson. Source: Wellcome Collection.

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    Result : Six weeks after the injection tlie local site became painful, and at tbe same time tbe patient, wbo bad been feeling better, began to feel worse even than before treatment. He subsequently improved again to a quite noticeable extent, but about June 10 developed an ischio-rectal abscess, wbicb required operation. Before this complication was feeling much improved and had gained 7 pounds. The lung signs show improvement at the left apex where r&les are no longer heard. This case exhibits the phenomenon of simultaneous develop¬ ment of pain at the site of injection and the general symptoms becoming worse. Until the development of the ischio-rectal abscess the progress of the patient was satisfactory in spite of the fact that the injection resulted in abscess forma¬ tion. March 24, 1914. Seen. In sanatorium. Condition in all respects similar to that before treatment. Sputum still contains tubercle bacilli. Chest signs indi¬ cate extension of the lesion on the left side to a significant extent at the same time that the right-side lesion has become less active. No. 21. K. S., 1^3 years—Pulmonary tuberculosis, III.—History of ischio¬ rectal fistula seven years ago, with several operations resulting in cure. Had pulmonary condition four and one-half years. Some hemorrhages four and two years ago. Temperature subfebrile for a long time. Infiltration both upper lobes, possible cavitation. Treatment, March 17, 0.1 c. c. intramuscularly; large infiltration; gradually resorbed. May 17, 1913, 0.15 c. c. intramuscularly; transient reaction. Result: No significant change in lungs, except reason for increased sus¬ picion of cavity. Has lost 4 pounds in three months. Says his cough is some¬ what lighter, but that he is weaker. March 24, 1914. Seen. Still in sanatorium. Condition in all respects similar to that before treatment. Tubercle bacilli in sputum. Lung signs the same as before. No. 22. G. G., 32 years—Pulmonary tuberculosis, III.—Sick nine months Lost about 12 pounds, now gaining slowly. Temperature, 100.4° maximum. Has much pain in chest on coughing. Disseminated moist lesions in right lung and a few rales and suspected cavity at left apex. Treatment, March 17, 1913, 0.2 c. c. intramuscularly, transient reaction. Treatment, May 17, 1913, 0.2 c. c. intramuscularly, transient reaction. Result: Three months later. Patient had a temporary amelioration of sub¬ jective symptoms following the first injection and also improved after the second. Three months after the first injection he stated that his cough was better, pain gone, and he was stronger. His temperature reaches 100°. The lung signs are about the same as before although the lesion at the left apex appears to be drier. He has lost about 4 pounds weight. . March 25, 1914. Seen in sanatorium. Since last seen has had a fistula in ano, which was operated upon with good result. Coughs excessively and ex¬ pectorates much. Lately temperature has been reaching 100° at times. No copious hemorrhages, but occasional blood-stained sputum. Weighs 17 pounds less than before treatment. Lung signs practically the same as before treatment. No. 23. J. A.—Pulmonary tuberculosis, III; tubercular epididymitis.—Cough five and one-half years. Used to have fever and sweats. Temperature now sub- febrile with occasional jumps to 102°. Weight about stationary; extensive in¬ volvement of left lung; large cavity; pleural adhesions and catarrh; right apex shows some infiltration. Bilateral epididymitis of one year’s duration, large, hard, with a small sinus discharging slightly. Treatment, March 17, 1913, 0.2 c. c. intramuscularly, transient induration. Treatment, May 17, 1913, 0.15 c. c. intramuscularly, transient induration.
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