A study of the blood in cases of tuberculosis of the bones and joints / by John Dane.

  • Dane, John
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: A study of the blood in cases of tuberculosis of the bones and joints / by John Dane. 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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    tubercle bacilli. The case progressed favorably and ultimately recovered. Case 43. Girl, eleven and a half years old. She had had a slowly growing glandular enlargement for about eight months on the right side of the neck at angle of jaw and following the anterior edge of the sterno-mastoid. The trouble began without known cause in a child of feeble constitution and anemic ap- pearance. At the time of entrance the pocket of glands numbered some six or eight, the largest the size of a horse-chestnut. There was no fluctuation to be felt, and no involvement of the skin, about the 99° F. line. Count showed Temperature Erythrocytes 6,104,000 Hemoglobin , 72 p. C. Leucocytes 11,251 Lymphocytes 22 p. c. Large mononuclear and transitional forms . 10 p. c. Polynuclear neutrophiles .... 68 p. c. Eosinophiles 0 p. C. Upon operation, two days later, the largest of the glands was found to have degenerated in the centre and already contained purulent material. The wound healed per primam. Cultures from the liquid portion gave a negative result upon blood serum. SUMMARY. Although in the foregoing series the number of counts is in many places too small for us to feel cer- tain that they represent a fair average; in many a bacteriological examination is wanting where it would have been most interesting; and in others even the approximate result could not be seen on account of the child failing to report at the out-patient clinics, and the parents to answer any letter of inquiry;
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