The suppression of tuberculosis : together with Observations concerning phthisiogenesis in man and animals and Suggestions concerning the hygiene of cow stables and the production of milk for infant feeding, with special reference to tuberculosis / by Professor E. von Behring ... authorized translation by Charles Bolduan, M.D.

Emil von Behring

Date:: 1904

Credit: The suppression of tuberculosis : together with Observations concerning phthisiogenesis in man and animals and Suggestions concerning the hygiene of cow stables and the production of milk for infant feeding, with special reference to tuberculosis / by Professor E. von Behring ... authorized translation by Charles Bolduan, M.D. 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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virile period of infection and, because of its im- portant bearing on the origin of consumption, con- sidered separately, is preceded by the consequences of an infantile infection. Foremost among these is the secondary hypoplasia of the smooth, muscle tissue (of vessels, bronchi, and intestinal wall); next in order come wasting [Veröding] of the lym- phatic apparatus (quantitative and qualitative re- duction of the follicular receptive apparatus of the tubus alimentärius); destruction of lymph-glands; and the secondary hypoplasia of other primary points of attack for Tb. action (in the spleen, bone- marrow cavities, on serous surfaces of the large body cavities, and of the joints). The predilection of the thoracic dome for immobilizing changes can probably be ascribed to its exposure to the Tb. infection in connection with precedent mediastinal- gland scrofula; while the predilection of the Itmg apices for caseating lesions can again be brought into causal relation with secondary ossifying proc- esses, of scrofulous origin, in the joint structures of the thoracic dome (cf. Aufrecht, 1. c). 33. In my experiments on tubercular cattle I succeeded in producing eruptions of gray, non- caseating tubercles, running an acute course, by means of injections of tuberculin. At the same time it was noticed that not infrequently after the intercurrent exacerbation had subsided, the old infectious process had been favorably influenced. 34. Even when caseating lesions are present, the

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