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February 18, 1899


JAMA. 1899;XXXII(7):373. doi:10.1001/jama.1899.02450340041006

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There can be no doubt that the most common medium for the transmission of tuberculosis is the atmosphere, and it is probably for this reason that the pulmonary localization is the most common. On the other hand, it must be conceded that the gastro-intestinal tract is the portal of entry in a not inconsiderable number of cases. It is generally believed that in children the bowel suffers most commonly from tuberculosis, and the explanation is found in the large use by them, as food, of a ready medium for conveying tubercle bacilli, namely, milk. It is known that the milk of tuberculous animals may contain the bacilli, even in the absence of a lesion of the udder or teats. The recognition of the disease in such animals is, therefore, of the highest importance, and when discovered the milk should not be used for food. The negative results of a single

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