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December 24, 1887


JAMA. 1887;IX(26):813-814. doi:10.1001/jama.1887.02400250013002

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Surgical Tuberculosis.  —(See the numbers of The Journal for Oct. 29, Nov. 5, 12, 19, 26, Dec. 3, 10 and 17.)45. Not without consideration for surgery is the question, in how far does tuberculosis of itself cause suppuration, and in how far are the softening and suppuration of tuberculous foci favored by the entrance of septic material, that finds a suitable soil in the dead tissue masses of such foci?The regularity of softening and ulceration in the tuberculous conditions of the respiratory and intestinal tracts, contrary to the extraordinary frequency with which tuberculosis of bones and joints heals without suppuration, or at least exists for as much as a year without suppurating, is very striking. The older authors often asserted that high fever accelerated the softening of the tubercle.46. With regard to the localization of the foci in the different organs, regions of the body and

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