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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![CAS/iS /.V MA.V. Uu- pulmonnry nrtcry a{>{M«rMl to end in iU» |x«riphpry. In the Ihuk- ■ulMtonoo^ round llu^ cavity, the name yeUowiith-brown euat|wuhM| uudultia ae in the left lun^ In the middle lobti of the lung the u]nu{uo notlulee were entailer and niuiv unifumi in eiu, and at the extremu haee they foriiMMl grapo-like cluetera. llierv Mrero extenaive pleuritic oilheNiotui on boUi udna ()n the turface of the tun^ tlicre were a nuiulier of flat penduloue nodulea, one of whirh, about thre<M‘ightiui of an inch in diameter, waa euependnd by a piece of Ute atlheaion, like a email metlallion. llound the ehar|i margin of tlie right lower lobe there were a few email pleural nodulue, jNUily fuwel into a cord, giving the margin a Iteodeil apiwarance. From thiit caac in tnken the dmwing of the ahnrp maipn of the Inng, lower lolio (fig. 4, I’bite II,), Hhowiiig an ap)K<araiico of lint nodular outgrowthe, conatricbnl to a kind of podiclo at the btUH^ fused inU» a cord lownrtla the right-hun<I aide. This n{){x>arunco occurs in other canes, and is pntbubly characteristic. The largistt pleumJ nodule that 1 liave found in any of the cascts occurrwl in this case. It was al>out three-eighths of an inch in diameter, lint and tnuisparunt (suggesting fat tissue), ami sus- {suided by a long and narrow liond of connex^tive tissue. The pleural surface elsewhere showed the usual varieties of tlio chumcU?ristic pleural outgrowths. Fn)m this case also is taken the coloured «lrawing (fig. 8, Plate III.), showing large round encapsulod nodules in the lung 8ul)stancc. I believe the appearance to be very chamctcristic of the more chronic fonn of the disease in the lung. Tlie peculiar appearance of fig. 17, Plate VI., is taken from this ca.se; it occtirrod uniformly in connection with the smaller tul)erclea in the lower lol>e. Tlie tulierclo-nodule has evidently broken through and growm into the nearest bronchus. The same encroaching process prolxibly takes place in the cose of larg(!r nodules and larger bronchi, and would account for the commu- nication sometimes found to exist between the softened centre, or the cavity of the nodule, and the lumen of the bronchus. Case 8.—Rapid tuberculosu in a previov^Jy healthy man; charaeicristic pleural outgrowths; small greyish-white medullary nodidcs, with softened centres, throughmt hoik lungs; siooUcn bronchial glands. C. F , male, ngctl twenty-eight years, fireman, Ely, admitted into Addenbrooke’s Hospital on 4th Juno, under Hr Bradbuiy. Had](https://iiif.wellcomecollection.org/image/b2226758x_0050.jp2/full/800%2C/0/default.jpg)
