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The first chapter is devoted to immunity and infectivity. The author discusses the attack of leukocytes on the tubercle bacilli when they first enter the body and points out that an initial infection does not protect the body against a subsequent excessive dose. He states further that with tuberculosis there can be no question of getting an immunity from a first infection in any way comparable to that obtained by smallpox, mumps or scarlet fever. He says that allergy may itself be a danger but that a primary infection proceeding to an acute and general tuberculosis is extremely rare. In the chapter on prevention the author calls attention to the fact that the word cure should rarely be used in connection with tuberculosis, since many patients leave the sanatorium in excellent health and yet experience shows that they are much more likely to develop progressive disease during the next few
Recent Advances in Pulmonary Tuberculosis. JAMA. 1938;110(3):232–233. doi:10.1001/jama.1938.02790030066028
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