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March 26, 1910

Pulmonary Tuberculosis and Sanatorium Treatment.

JAMA. 1910;LIV(13):1079. doi:10.1001/jama.1910.02550390061023

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The author has had ten years' experience in open-air sanatorium treatment of the disease and writes with convictions and reason. The first chapters are devoted to the etiology of tuberculosis, with a brief account of symptoms and prognosis. The author elaborately considers the relatively great importance of predisposing conditions, insisting that the bacillus is not the whole or sole cause of the disease. Whether, as he believes, man became afflicted with tuberculosis only after he became a house-dweller cannot be proved, and whether the bacillus was first able to live outside animal bodies and gradually acquired a parasitic habit is also incapable of proof. But these views appeal to the imagination if they do not convince the reason.

The author's discussion of the early diagnosis of pulmonary tuberculosis is good, but too brief. Tuberculin tests he deprecates as often dangerous. The practical application of the opsonic index as a test

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