The Friedmann treatment for tuberculosis : a report of the board appointed for its investigation / by John F. Anderson and Arthur M. Stimson.

  • Anderson, John F., 1871-1958
Date:
1914
Catalogue details

Licence: In copyright

Credit: The Friedmann treatment for tuberculosis : a report of the board appointed for its investigation / by John F. Anderson and Arthur M. Stimson. Source: Wellcome Collection.

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    Treatment, March 17, 0.2 c.c. intramuscularly, no reaction observed. Treatment, May 17, 0.25 c.c. intramuscularly, no reaction observed. Result: Obscured by the necessity for repeated thoracocentesis with the removal of large quantities of fluid. Three months after the first injection the patient had regained the condition described by him before the acute attack two weeks before treatment. His temperature was reduced to a maximum of 100.5°. He weighed 3 pounds heavier. Fluid reaccumulates in the left chest. Cough and expectoration are much improved. Has rales on coughing at right apex, and harsh breathing in right lower lobe posteriorly. Summary: The improvement in this case may be accounted for by his rest in the hospital and the removal of fluid from chest. No. 11. E. J.—Tubercular tenosynovitis; pulmonary tuberculosis, III.—A history of swelling of the anterior side of the wrist of 2$ months’ duration tender but not painful, with limitation of the mobility of the flexer tendons. Increasing cough for year, with loss of weight and pains in the chest. There is partial consolidation of both apices and upper lobes, and fluid in the left chest. Low febrile temperature, much weakness. Weight, 134£ pounds. Swelling of wrist above carpus doughy and tender to pressure. Tubercle bacilli in sputum. Treatment, March 17, 1913, 0.2 c. c. intramuscularly, transient induration. Treatment, May 17, 1913, 0.2 c. c. intramuscularly, transient induration. Result : Three months after treatment. The swelling of the wrist was incised at the time of the first injection, a small amount of tissue being removed for laboratory examination, which demonstrated its tubercular nature. At first it appeared that the wrist was becoming worse. The skin became red and more bulging and the patient suffered so much pain that a cast was applied. On removing this cast May 10 the wrist was found much improved, the swelling much reduced. The patient had been doing poorly $nd was allowed to sleep out doors, whereupon marked improvement occurred, he gained 10 pounds and his temperature was reduced to 100.5° maximum. Three months after the first injection the patient was coughing much and feeling poorly again, but this was apparently due to a rheumatic attack. Pains in the leg and hip of a rheumatic character were favorably influenced by salicylates. The wrist is much improved over its original condition. The lung findings are practically the same as before. After having gained 10 pounds in 6 weeks the patient has commenced to lose again, being now 5 pounds heavier than before treat¬ ment. The physical condition of the lungs is not improved. That of the wrist is improved, but by no means cured. The general condition improved only when the patient slept out doors instead of in the ward. The improvement of the wrist gives the impression of being due to some specific influence. March, 1914. Died of pulmonary tuberculosis. The wrist had improved as regards pain, redness, and swelling, but never to the extent that it was useful or flexible. No. 12. 8. T. (30 years)—Tuberculosis of the lungs, III.—Known duration, eight months. Loss of about 7 pounds in weight. Cough variable during this period. Eight days before treatment had a copious hemorrhage. Was much prostrated by the direct and psychic effects of his first hemorrhage. Tempera¬ ture, maximum 100°. Probable cavitation of right upper lobe and infiltration of middle and lower lobe. Slight infiltration left apex. Tubercle bacilli in sputum. Treatment, March 17, 1913, 0.2 c. c. intramuscularly, transient local reaction. Treatment, May 17, 1913, 0.25 c, c, intramuscularly, transient local reaction, *