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December 7, 1912


Author Affiliations

Sio-Khe, China

JAMA. 1912;LIX(23):2056. doi:10.1001/jama.1912.04270120041011

A Chinese woman, aged 36, came to the dispensary of the Neerbosch Hospital in March. She was so weak and short of breath that she was unable to walk alone. Our first impression was that this was a far-advanced case of tuberculosis. The patient was emaciated, anemic and very short of breath; she coughed almost constantly and raised large quantities of mucopurulent sputum. Both apices and the left lung were normal. There was an area of dulness about 5 cm. in diameter just above the right mammary region in the nipple line. Over this area were heard râles of nearly every description. Patient complained of no pain, but of weakness and an inability to sleep on the affected side on account of coughing. We examined the sputum as many as twenty times for tubercle bacilli but with constant negative results. We noticed, however,, the constancy of certain spore-like bodies with