The diagnosis of tuberculosis of the lung, with special reference to the early stages / by K. Turban ; with an introduction by Sir Dyce Duckworth ; translated by E.C. Morland.

  • Turban, Karl.
Date:
1905
Catalogue details

Licence: In copyright

Credit: The diagnosis of tuberculosis of the lung, with special reference to the early stages / by K. Turban ; with an introduction by Sir Dyce Duckworth ; translated by E.C. Morland. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    This divergence of opinion continues in the most recent publications. Dettweiler* makes the following definition: “ We have to Dettweiler. ^ ® do with tuberculosis of the lung from the moment at which the finding of bacilli in the sputum supplements the evidence of respiratory disturbance, either of recent occurrence or of some previous duration.” Oestreich,* endorsing the opinion of his master, Kronig, says : “In commencing phthisis, the ana- tomical changes .... are fre- Oestreich. ^ quently of such a kind that the tubercle bacilli actually present in the tissues can find no means of exit, whilst the foci are large enough to be demonstrated by percussion. A negative result, then, of sputum examination in no way excludes the existence of foci producing physical signs, so that in these cases the earliest recognition of the disease can only be obtained by physical examination.” As this confusion persists, it seems advisable to examine in detail the subject of commencing tuber- culosis of the lung, in view of the “Apical Catarrh.” overwhelming importance of its early diagnosis. This variety of opinion, in the estimate of a disease at once so common and so important, is very striking. The explanation can only be that some writers cling to the distinction between non- tubercular and tubercular apical catarrh, and to the notion of a transition from the one to the other.