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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![CAShS /-V M.4X. and the otlier indications of the ccnlrc* could be delectwL jm*j«*nco of minute tulnTculoua I CahK 4.—Luiuj cvntnining atrtral $Jou//httuf or yutritl cavUifM; ^ large round tubercle* in the interrcning lung tubdance, ^ .1. It , malu, iu{«*d forty yMini, faltMinor, Kawnton, Caiulw, ail- ‘ mittod into A<idi'nbrtMiko's IIiM|iiial on llm 9tli May, under l>r Itnul- ^ bury. gooil till four yi*am b|^», then bad iiiiluiunmtion of tbo ^ Iun(*«. (VuilinutMl in ifood health durtii); ihe two 3’eam iinmtHliaUdy following this attack. During thn laat two ytfani hoa liad more or lena conatant <*<ough, and haa gradually IiMit floah. IbeiuoptyaU aix nionlha ago, and again four montiia ago. At iho latter date alau hod a aeveru attack of bronchlliji, and waa con(ilu'<l to Ix'd for five wiM*ka. Never Well aince. For oi*veral w<H*ka exiMsctoration of very fetid aputa. /‘ream/ rnndltion,— Face aoinewhat congoal4«l, tretnora of tongue and iiiuaclea of fore. Much pnaitration. Fnviuent cough, with eX|HH?t4imtion of very offensive pundent aputo. Breath alao very ofTeiiaiva Tongue thickly CMaited. Pulae feeble, intermiU occa- aionally. ladt clnwt univeraally dull In ]>ectoml ix>gion, fromiluH alKiIiahed, nwpimtor)’ oounda very defirieiiL .Metallic tinkling lu^anl in neighliourhood of nipple. Hough double creaking aound in cardiac ri'gion accomiMinying each beat of the heart roateriorly, abaoluto dulnoM over lower half of left cht«t Vocal freinitua and vocal ro- aonnneo alwent Iteapinitory aounda extremely deficient Hight cheat cvor)’whero mtonant Heart'a a|iex diaplaixsl to right The tem|>emture on the evening of the 10th .May waa 104 ’'2, and next morning 101 *‘4 ; the fall aonma to have continued in the evening to 100*, and for the rest of the time it ia rocorde<i at alM>ut 102*. 'Hio tlyapn«*a varicnl in degree from «lay to day; Ijcfore death on the 13th, it waa verj' severe; face dusky, jierspiration atanding on forehead. Pod-m'irtem, 14th May.—Ilcmarkable ap|>onranco in thorax, linm- chial gland* forme«l a diffluent white mass, like the softer variety of lymphoearcoma. Ixjft lung hrmly mlheront; exUmaively usderoatous j contained a numlwr of gangrenous cavities, one of them (on the |)eri- phery) distinctly wedge-ahajKHl; an»l, in the intorvals fn^twoen the cavities, the lung-tissue was occupieil by a number of greyish nodules, of uniform site, as lai^ as j>oas. The bronchial mucous membrane inUmsely congested. I did not see the right lung, but the note is that it “ contained a considerable (juantity of caseous substance, just begin- ning to break down. None of the orgnns from this case were kept for examination. The case was evidently one of intense or virulent infection. The cavities had resulUnl from the breaking down of solid masses, one at lea,st of which, on the periphery, had l>cen wedge- sha]K*d. Their interior was formed by what might be calkxl an](https://iiif.wellcomecollection.org/image/b2226758x_0046.jp2/full/800%2C/0/default.jpg)
