Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.

  • Pierre Charles Alexandre Louis
Date:
1844
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Licence: Public Domain Mark

Credit: Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    bladder it was examined, I shall abstain from any kind of con- jecture on the matter. Of tbe two other subjects, one was a young man, aged eighteen, of tolerably good constitution, generally enjoying good health, not subject to cough, and cut off by phthisis after seven months of illness. Among other morbid appearances discovered on the examination of his body, were a great number of ulcera- tions in one and the other intestine, tuberculous granulations, and a tsenia solium in the part of the jejunum next the ileum, an abundant crop of tubercles in the mesentery, unnatural red- ness of both kidneys, and at the upper part of that of the right side, a non-encysted tubercle of somewhat oval shape, measuring an inch and two lines [3 centimeters] in its longest diameter, of lemon-yellow colour, and good consistence. The third subject, too, was a young man. He was of weakly constitution and died five months after the outset of the pul- monary disease. In him, the mucous membrane of the intes- tinal canal was perfectly healthy in respect of firmness, coloui', and thickness; there were no tubercles in the mesentery, but great numbers along the spine in the liunbar regions, around the inlet of the pelvis and along the neck. One of the tubulai' cones, at the upper part of the right kidney, was completely con- verted into tuberculous matter, somewhat softened in the centre. Another cone, near the preceding, also contained a small quantity of the same matter, infiltrated here and there through its sub- stance. The intervening tissue was sound. In these two last cases I found the mucous membrane of the bladder and ureters perfectly healthy, having noted the fact with care at the time. The development of the tuberculous matter in the kidneys, therefore, could not be ascribed to inflam- mation of that membrane : and how is it possible to regard the pseudo-membrane, investing the pelvis and ureters in the former the product of inflammation of the lymphatic vessels, —an inflammation which several observers regard as the som'cc of tuberculous development ? I found the mucous membrane of the bladder very shghtly injected in some cases, without being softened in an ob^^ous manner; and in no case, among the one hundred and twenty