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—Volkmann concludes his paper on surgical tuberculosis (See preceding numbers of The Journal) with some general considerations on the subject.36. The tuberculous character of an affection is not to be doubted when inoculation gives positive results, when the tubercle bacillus is demonstrated, and when the anatomical examination shows the well-known structural changes in the diseased tissues. All three conditions are present in the affections described above. On the other side, however, it is as yet not proved that tuberculous tissue must always present the follicular contraction.37. The spread of tuberculosis takes place through different channels and in very different ways:a. The original focus grows.b. By the invasion of the tuberculous virus (bacilli) into the lymphatic vessels from the original focus. This probably extremely frequent, or almost regular occurrence does not, as a rule, lead to generalization, because the lymph glands not only retain
MEDICAL PROGRESS.. JAMA. 1887;IX(24):753–754. doi:10.1001/jama.1887.02400230017004
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