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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![^ PRFINtTIOS OP THR SUBJECT. tliml Kudduiily after being titirty-Hix liouru in the hospital. The lungs contained a nutulx'r of Huft whitish inosMes, up to the sixu of a waluut, softened in the centre, nnist of them round, and one or two, on the peripher)', W'e4lgu-ghu)>ed. The question was whether they were not secondary’ tumours; but tliey differed from the sarcomatous or other new growths that occur secondarily in the lung, luid they differed still more markedly from cheesy deposits. Four days later there was a }Htd~morUm examination on the hotly of a woman, aged thirty-eight, who hatl been in the hoHpiUd six months before with typhoid fever, and hud been readmitttHl with obscure alNlominaf symptoms. Acute tubercu- losis had botsn diagnosotl, and both lungs were found full of very minute translucent tul>crcles, and one lung contuinotl a single large sharply-tlefiiu'd W(Hlgo-shn{MHl infarction on the {>criphery. lliis infarction reailled the wedgo-sha]>e<l masses of the fonner cose, but it differed from them in being linn and tough, and of a bniwnish-yellow colour, like a gumma. There were two small healed ulcers in the ileum, and the ]>critoneuni gener- ally was covenal by an eruption of hirgo flat tubercles. Alsmt a wct?k afterwards (28th April), there was aexamin- ation of the Ixxly of a girl aged seventeen. The under surface of the diaphragm and other parts of the |>eriloneum were covere<l with the same large flat tulicrcles as in the preceding case, and one lung containe<I precisely the 84tme white metlullary tumour- like ma.H.Hcs as in the first case. One of the white massc’s (figured at the top of Plate III.) was distinctly wedge-shai>ed. A few days later (4th May) the l»ody of a child, agetl eight, was examined. The case had Iwen a typical one of acute tulx;r- culoais, of about five week.s’ durati(»n. The tubercles in the lungs were large and white, and at one apex they were so close together as to form on the periphery of the lung a solid wedge- shaped mass an inch long. Lastly, on the 14th May, an ex- amination was made of the hotly of a man, aged 42, who had died of acute pulmonary disease after l>eing four days in the hospital The ap}>earance of the left lung was remarkable; it was intensely cedematous; it presented a number of large cavities, more or less smooth in the interior, and containing l)utrid-looking greyish fluid; one or two of the cavities in the IHjriphery of the lung were wedge-shajKjd, and the lung tissue](https://iiif.wellcomecollection.org/image/b2226758x_0016.jp2/full/800%2C/0/default.jpg)
