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August 18, 1917


JAMA. 1917;LXIX(7):568-569. doi:10.1001/jama.1917.02590340068015

The relations of tuberculosis of the lymph glands to tuberculous processes in other organs have received much attention, but there still are differences of opinion, and careful observations are therefore of much interest. Harbitz1 has just published the results of an extensive and painstaking study of tuberculosis of the lymph nodes. He says:

In general one may say that in children most of the tuberculous infections have their point of departure in tuberculosis of the lymph nodes; the tubercle bacilli are deposited here after they have passed through mucous membranes or the skin; here they proliferate enormously or remain latent but virulent for a long time, years and years, eventually escaping and infecting other organs. Most frequently the dissemination occurs by the lymph vessels, but also by the blood vessels, and probably more often than now believed.

The observations are based on 2,906 necropsies in Christiania, Norway, during a

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