The case here recorded illustrates the reawakening by trauma of a previous benign tuberculous pleurisy in an apparently healthy person. It also tends to confirm clinically recent experiments on pigs in regard to the pleural reaction in tuberculosis.
REPORT OF CASE
—Mrs. L., aged 36, married, housewife, is a large robust woman, weighing 185 pounds. The paternal grandmother, mother and one brother died of pulmonary tuberculosis, and the patient was definitely exposed to this disease for a period of years during childhood. Otherwise the family history is unimportant.Since the age of 16 she has had repeated attacks of quinsy, and for some years past during the winter months has suffered from recurring attacks of bronchitis.In 1912, three years previous to the present illness, the patient came to me complaining of pelvic discomfort due to prolapsus uteri. At this time an examination of the chest, suggested by the
BRAY HA. TUBERCULOUS EFFUSION, TRAUMATIC IN ORIGIN. JAMA. 1918;71(21):1714–1715. doi:10.1001/jama.1918.02600470012005