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Article
February 28, 1891

THE KOCH TREATMENT COMBINED WITH SURGICAL PROCEDURES.From the Surgical Department of the Moabit City Hospital, Berlin.

Author Affiliations

OF BERLIN.

JAMA. 1891;XVI(9):289-292. doi:10.1001/jama.1891.02410610001001
Abstract

ARTICLE II.—THE SURGICAL PROCEDURES AS APPLIED TO TUBERCULOSIS OF THE GLANDS, BONES AND JOINTS.

Surgeons naturally seem to be of different opinions as to the procedures which are indicated in surgery of tuberculous bones, joints and glands, when they have been subjected to the Koch treatment.

I will attempt in the following, with the help of a few specially selected cases, to outline our principles in the treatment of such patients.

First of all, it is absolutely necessary to have a perfect understanding of the action of the remedy, for numerous complications often arise during the course of the treatment which have the greatest influence upon the temperature curve as well as upon the wound conditions.

The fever curve indicates exactly whether or not the action of the Koch remedy is free from contemporaneous influence. When the temperature rises rapidly after the injection and on the following day the fever

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