Bovine tuberculosis in man : an account of the pathology of suspected cases / by Charles Creighton.
- Charles Creighton
- Date:
- 1881
Licence: Public Domain Mark
Credit: Bovine tuberculosis in man : an account of the pathology of suspected cases / by Charles Creighton. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![Na 240.—l<oii){ uuwell, aittl cM|>«c!«lly ikinoe 16th Au^^ut; th'ath on OcL lX)e|t |ii({iuentatiuu of ilnim, atnl cicairicoa of ulcfK. IVriUinilia and lileutiay, with cAUriwive ilevelupuient of K^*y noduloa. (in-y noduleti in liver and kidney. (1 have referred to thU ca«e at ){TvaU?r length in the text, Clia]iter VIII.) W. H. HpKXCKn, “ On Fever oa a connwting link Ix'tween Hcrofula and TuljercuhMia.*—HriMol Itufat Jmfirmnry Ueportt, 1H78-7U. Ill aildition to the four caam whirh I have referml U) in the text, Dr K|M<nrer givm UiwanU the end of hia ]ia|>er the following eaae, of which he Mya; **Huch coaea aiv u*ually regitnl(«| aa raaea of acrofuloaia, luid not tulwrcuhwia*; A hoy, aged 13, from the aatnv Induatrial School aa that inentione<l in the text (('lia|tter VIII.). Ill of feVer for a fortnight ; died after ladng thn^e ilaya in the hiM|iital. Arafhnoui hen* ajnl there covered with lymph, thickene>l and infUtmteil (pndiahlo U*ginning«i of tubercle). In the right tumj, acvenil communicating cavitiea at the a|»ex, luiving thick fibroid wnlla; no tulicrrle of lunga of plcitne. On each aide of thorax, nioubled lictwivn the roiiipmaacvl lunga and llie diaphragm (in the pleural cavitiea), a largo collection of groyuh*white cheeay matter, coaily acni|MMl oiT from the jJtuml aNi/ncaa; theae two collectinna of che«wy mntu*r united, behind the (oaophogua, by an iathmua of the aame kind of material; no broach of continuity in the plennr. In the abdomen, genemi but not firm matting of all organa by checay material; liver finnly lulherunt bt the diaphragm thnmgliout; a chtway maaa, four inchca in diameter on<l half on inch thick, immmliately under the central tendon of the diaphragm ; in the right flank, two checay mooaoa, the aixe of largo i>caa, adherent Ui the ]>eri' toneiim by a thin melanotic membrane and aurrounde<l by a xonc of i»cri* toneal injection; a aimilar nnilulc ndlierent to the meacnteiy ; m<«ntcnc gland* enlarged nml iiulunit««I, none coaeoiu ; amoll encyate*! <»>lleciiona of coaiHiua matter in the /iWan<l kidneg* ; abdominal oigami otherwuH: In^lUiy; no tubercle within the alKlonien. Tlie aernna-membranc outgrowtha, which I have doacrilied and figured, an*, I Kdieve, liable to Iwcomc large conglomerate caaeoua maMoca, eaiiedally; round the aharp margin of the lower lolxj of the lunga, and on the con- tiguoua Burfacea of the liver and diaphragm. Tlie latter aituation ia the moat likely jdacc to hnik for indications of the ]x*arl-<li»eaae. In a case of rajiid phthisis pulmonum in a robust and ]>reviously healthy man, aged 40, I lately found (15th Noveml)er 1880), liesides email white tubercles on the surface of the somewhat fat mesentery, the following condition on the under surface of the diaphragm : A few long nilhesions to the liver. Alxiut a doxett flat yellowi.sh-white i*atchi*s, mostly round, a cpiailer of an inch or more in iliameter, and raised ab<iut half a line al)0ve the surface, well define<l, and fixeil by short pointed processes all round their margin, giving the ]»eri- phery a somewhat stellate appearance. Towards the temlinous part of the](https://iiif.wellcomecollection.org/image/b2226758x_0128.jp2/full/800%2C/0/default.jpg)
