Tuberculosis of the choroid : perforation of the sclera ; extension posteriorly with involvement of the optic nerve ; histological and bacteriological examination of the specimen / by G. E. de Schweinitz and E. A. Shumway.

  • George Edmund de Schweinitz
Date:
[1906]
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Licence: In copyright

Credit: Tuberculosis of the choroid : perforation of the sclera ; extension posteriorly with involvement of the optic nerve ; histological and bacteriological examination of the specimen / by G. E. de Schweinitz and E. A. Shumway. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Examination.—When seen at the University Hospital, the pa- tient was exceedingly emaciated and the chains of glands on both sides of the neck were swollen and tender to the touch, but not superficially ulcerated. The knee joints were considerably en- larged, and a similar enlargement was evident in the elbow joints. There was distinct beading of the ribs. The head was slight] retracted, and the child not infrequently gave vent to a sliort, Fig. ]. a, tubarculous tumor-mass at posterior part of eye; b, site of tlie sclerai perforation; c, greatly thiclcened optic nerve, replaced by the growth; d, small extrascleral nodule; e, blood- stained necrotic tissue. sudden cry resembling the so-called hydrocephalic cry. There was slight fever, and, although the temperature was not taken in the dispensary, we understand that it did not rise above 102. The pulse was rapid and irregular, the respirations were not especially disturbed, and physical signs of tuberculosis in the lungs were wanting. The right eyeball was decidedly proptosed, immobile and turned downward and outward, the surrounding conjunctiva swollen and