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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    Result : No decided change is noticeable. Appearance varies from day to day according to how recently the surface has been mechanically cleansed of secretion, scales, etc. Three months after treatment it seems that more patches of whitish scar tissue are visible, but the thick tubercular parts are not im¬ proved and one new patch has developed. The abscess resulting from the second injection became so painful that at the patient’s request it was opened, a large amount of pus being liberated. March, 1914. Patient not located, but a hospital nurse who has seen him within a month says that he was unimproved. No. 65. G. L., 31 years—Tubercular sinus following removal of kidney.— The kidney operation was followed by sinuses, which closed up partially, only to break down again. Suffers also from frequency of urination. General condition poor. Slight pulmonary involvement probable. Treatment, March 22, 1913, 0.8 c. c. intramuscularly; large induration; gradu¬ ally disappeared. Result: Three months later condition nor improved. Dicharge from sinuses continues. Urinates very frequently, and now has blood mixed with urine. March 23, 1914. Seen in hospital, where he has been readmitted after attempt¬ ing to work in the kitchen of a steamship. Has been sick all the time. The sinuses in his back have never healed. Was operated upon in January, 1914, the sinuses being opened up and curetted. Must pass urine every 15 minutes or so. Phenol sulphonphthalein test, 40 per cent excreted in two hours. Runs an irregular temperature, reaching 101° maximum. No. 66. T. 8., 29 years—Pott's disease of the spine—Pulmonary tuberculosis, I.—States that he has been ill only one and one-half months, with cough and pain and deformity of the spine. Temperature normal. Tubercle bacilli not found in sputum. Impaired percussion note, and high-pitched expiration, both apices; no rales. Marked deformity of spine, the angulation being at about the fifth dorsal vertebra. Treatment, March 22, 1913, 0.15 c. c. intramuscularly; transient reaction. Treatment, May 17, 1913, 0.15 c. c. intramuscularly; transient reaction. Result: About a month after the first injection a cold abscess developed near the lower end of the sternum. The patient says that the severe pains which he formerly had in the thorax are entirely gone; he coughs less and his appetite is much increased. Two months after first injection the angula¬ tion of the spine had increased. The cold abscess was opened and pus evacu¬ ated, wrhich reaccumulated. Lung condition unchanged. Three months after first injection the patient said that the Friedmann treatment had relieved his pain but not otherwise improved him. He was operated upon for the relief of the rapidly increasing deformity of the spine. No. 67. P. A., 25 years—Pulmonary tuberculosis III.—Sick two years fol¬ lowing pneumonia and pleurisy. Pleural adhesions contracting caused dextro¬ cardia, and patient complains chiefly of shortness of breath. Temperature, subfebrile, under 101°. Cough and expectoration moderate. Cavitation right apex; few rales; left apex dull, but no rales; right base covered by thickened pleura. Treatment, March 29, 1913, 0.25 c. c. intramuscularly; transient induration. Treatment, May 17, 1913, 0.2 c. c. intramuscularly; transient induration. Result : Up to the time of second treatment no change observed. About the time of second injection temperature began to run higher, and by the end of three months from the first injection the patient’s condition was definitely worse. The left lung gave evidence of recent progressive involvement. The temperature daily reached 102°. There was severe pain in the left chest; the patient was weaker and had lost weight. Subsequently died of tuberculosis.