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July 30, 1887


JAMA. 1887;IX(5):156-158. doi:10.1001/jama.1887.02400040028011

Surgical Tuberculosis—Tuberculosis of Ribs; of Knee; of Elbow—Resection of Hip—Koenig's Success with Tuberculosis—Iodoform—Carcinoma of the Rectum—The Germ of Erysipelatoid of the Fingers —Merkel.

Professor Koenig spent a whole forenoon in showing the most interesting cases of surgical tuberculosis and in describing the different affections and explaining their treatment. A number of cases of tuberculosis of the ribs were shown, among them one where nearly an entire rib had been removed. When tuberculosis selects a rib, and this is rather a frequent point of localization, it appears usually as a central lesion primarily extending by continuity along the central cancellated tissue and towards one or both surfaces of the ribs, where the periosteum is destroyed and the disease extends to the contiguous soft tissues, giving rise to diffuse abscess in the external wall of the chest, where it extends in a superficial direction, and to the formation of peri-pleuritic abscess, when

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