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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![mot with tho lung of nn ox in which, bt*«i<lofl jM'arl'nodules on | the Nurface, a wide-nproiul condition of bronciiiectaHis was to 1« > HCH*n. When Virchow, in tlio above poasugo, exjiroHsoa Huqtrise i that veU*rinary writora have not diMcuHHod that rcMnarkable ^ condition of lung which he ao gni{ihically cloacril»e8, 1 cannot ? but think that tho writings of TnwlKit have remained un- ^ known to him. It ia pn'ciaely to that condition of lung that * Traalajt’a minute invoatigationa have been dire< ted; ho gives a rational and crttdible account of the origin of the Hnioolli>walled cavities, and he expreaaly state's: Tlu'se vomica* are of various aha|>c8 anti tlimeiiaioiis, and an* often confounded with other cuivi- ties which art* formed in a very diffeit'iit manner. Again Fleming writes: “Theat* vomica* [in tin* lungs], according to TraKlsA, appear U) be closetl, and havtt no ctuuuiunication with the bronchi or pleural sacs, One recalls to mind how Virchow’s |K*netrating analysis of tho condition of the lung in the ordinary chronic phthisis of man, assailed I^enni*c's doctrine of the unity of phthisis, and resolve<l the disease, for tho most part, into chronic inflammator)' conditions of the tissues. The maxim “ 1 >istinguo is one that is constantly called for in {sithological anatomy, but I do not doubt that a still more rigorous ap]>lication of that maxim w'ould have prevented all those remarkable cavities or dilatations in the Ixivine lung from Iteing swe]>t into the general class of bronchiectasis. I have delayed over this part of the subject, because it has a most ini|>ort4»nt b<*aring on the identification of bovine tuber- culosis in man. In several of the cases in my series, the lungs pre.sented the cnimj)et-like condition of numerous smooth-walled vomica?; when the first case occurred, showing that condition of lung, I had not yet been led to think of lK>vine tuber- culosis, and I then took it to be l>ronchiectasis. Not only 80, but I communicated it to the Cambridge Medical Society on the 5th March, a.s a case of bronchiectasis combined with miliary tuberculosis. Another case, showing precisely the same con- dition of lung, occurred shortly after, and in going into the matter more minutely, and in conjunction with cases which were suggestive, in other ways, of the bovine disease, 1 could find no evidence of dilated bronchi, but, on the contrary, evidence of that softening process of tuberculous nodules, which Trasbot](https://iiif.wellcomecollection.org/image/b2226758x_0032.jp2/full/800%2C/0/default.jpg)
