On the treatment of surgical cases of tuberculosis by Koch's remedy : with abstracts of forty-four cases / by Gilbert Barling.

  • Barling, Harry Gilbert, 1855-1940.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of surgical cases of tuberculosis by Koch's remedy : with abstracts of forty-four cases / by Gilbert Barling. 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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    No. 41—W. S., ra., 16 years. Lupus left cheek, following tubercular gland mischief; about three years’ duration. First injection, of 5 mg., on Jan 10th, 1891, at which time the disease consisted of a nearly circular patch, about 3 inches in diameter, raised, nodular, and thickened. The first injection produced sharp general and local reaction. Total number of injections 24; largest amount administered 1 dg. Weight before injection, 6 st. nibs.; present weight, 7 st. 5^ lbs. Duration of treatment, 90 days. Result.—Marked improvement, but necrotic patches still follow each injection, although there is no constitutional dis- turbance of any kind.—P. No. 42.—H. S., m., 29 years. Lupus of right cheek, of 24 years’ duration; some years ago was treated with caustic. First injection of 3 mg., on January 5th, 1891, at which time the diseased area was 2 ^ inches by 1 ^ inches, nodular, indurated, but not ulcerated. The first injection gave distinct local re- action, but no general reaction was obtained until the second injection of 5 mg. Total number of injections, 30; largest amount administered, 15 eg. Duration of treatment, 95 days. Weight before injection, 9 st. 6 lbs.; after, 10 st. 4 lbs. Result.—Greatly improved; the cicatrix at the margin is extending, but there are two small nodules which still react to injection, although there is no constitutional disturbance.—P. No. 43.—J. B., m., age 13. Erythematous lupus of left side of face, chin, and neck; duration 7 or 8 years; no operation ; suspicion of phthisis right apex. When injected the lupus had an active margin, and the whole area affected was curiously indurated, feeling like bacon rind. The first injection of nig., on March 14th, gave a typical general and local reaction. The total number of injections has been 10; the largest amount administered 6 mg. Weight before injection 4 st. 9^ lbs.; now, 4 st. 11 lbs. Result\—Improvement, as shewn by paling and by marked lessening of the induration Duration of treatment 27 days.—P. No, 44,—W, L„ m., 11 years, Lupus of hand, about ten
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