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January 17, 1891

Koch's Method in Pulmonary Tuberculosis..

JAMA. 1891;XVI(3):105-108. doi:10.1001/jama.1891.02410550033011

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Dr. E. Fletcher Ingals, of Chicago, furnishes the following clinical notes just received from Dr. Corwin, now in Berlin:

December 16, 1890. Charité Hospital, consumptive wards of Dr. Gerhardt. Kaschuer, painter, æt. 24, married, weight 135 lbs., mother and father both died of quick consumption. Patient, as a child, had typhoid, measles, scarlet fever. September last he began to cough, with some expectoration. At end of September had haemoptysis (half cup). Had night sweats, chills in evening, some fever. Entered hospital October 30. Cough, weakness, chest pains on deep inspiration. Has good physique, dry skin, no gland trouble. Pulse was regular, 72; appetite fair, tongue coated. Physical examination gave: percussion note short at left apex (supra- and infraclavicular spaces), also behind in supra-spinous fossa of left side. Bronchial breathing in above locality, many moist râles on expiration and posteriorly, from seventh down evident pleuritic friction sounds. Vocal fremitus some weaker.

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