Tuberculin treatment / by Clive Riviere and Egbert Morland.

Date:
1912
Catalogue details

Licence: In copyright

Credit: Tuberculin treatment / by Clive Riviere and Egbert Morland. Source: Wellcome Collection.

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

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    cannot be expected to affect the results of past dis- ease ; c.g. deformities, adhesions, strictures, amyloid or fatty changes ; and if these are marked tlie course of specific treatment can hardly be a success. (c) Sahli states that certain cases are simply intoler- ant of tuberculin in any form and on any mode of ad- ministration, and that there is ro good in pushing it under these circumstances. The AVTiters have not yet met such a case, although they have had patients with a very low “ individual optimum ” dose as described by the same author. 4. Accidental Concomitants.—Ass-elation with diabetes of a severe form is fateful for the prognosis of phthisis, but tuberculin may still be tried in cases where the general condition is not hopeless. Organic heart disease, which en 'passant is rarely combined with phthisis does not, when compensation is perfect, interfere ■\\dth treatment on the usual lines. Epilepsy merely demands increased care in admini- stration. A liigh degree of “ nervousness ” may render specific treatment impracticable and that for various reasons. It may make the data by which the treat- ment is controlled so uncertain as to afford no safe basis. Weihrauch has shovm what a large part suggestion plays in the temperature reaction after an injection; in certain patients an injectio vacua produced an oscilla- tion with regularity. In such cases it is wiser to desist. Tuberculin may on the other hand increase any exist- ing hysterical or neurasthenic symptoms and make continuance impossible. Pregnancy is not a contra-indication ; in fact, tuber- culin is strongly indicated in the interest of both mother T.T. G