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Article
December 18, 1909

LOCALIZED SUBPHRENIC TUBERCULOSIS: EXCISION OF THE TUBERCULOUS MASS; RECOVERY; FREEDOM FROM RELAPSE AT THE END OF TWO YEARS

JAMA. 1909;LIII(25):2058-2060. doi:10.1001/jama.1909.92550250001001d
Abstract

Patient.  —Mr. X., a man of 28, came to Colorado in the spring of 1907 with a moderate tuberculous invasion of both lungs. His home was in Boston, and for some months before leaving there he had suffered with pain and discomfort in the region of the gall bladder. A diagnosis of gall-bladder trouble had been made by two physicians and this was confirmed by Dr. Swan of Colorado Springs, through whose kindness I saw the patient. When I saw the young man with Dr. Swan in the latter part of April, 1907, I found him fairly well nourished; his chest trouble was in apparent arrest, he was without fever, he had a good appetite and was possessed of a fair degree of general strength. The pain and discomfort in the region of the gall bladder had recently become more marked. He had liad no jaundice; he had not suffered acute

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