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Case Reports
November 1949


Am J Dis Child. 1949;78(5):755-758. doi:10.1001/archpedi.1949.02030050772013

THIS IS a twenty-one year follow-up report on what appears to be an emphysematous cavity first observed1 in the right lung of a 6 year old girl.

REPORT OF A CASE  In November 1926, at the age of 5½ years, this child had fever, the temperature being between 38 and 39 C. (100.4 and 102.2 F.) for twelve days, and a nonproductive cough. Thereafter, her temperature remained normal. However, she made a slow recovery, continued to cough and appeared chronically ill. A roentgenogram of the chest in March 1927 showed a dense, round infiltration in the right hilar region. Since a cutaneous tuberculin test gave a "slightly positive" reaction after twenty-four hours, the family physician diagnosed the condition as primary tuberculosis.When I saw the child first, forty-eight hours after the cutaneous tuberculin test had been done, the skin reaction was negative. A second Pirquet test and a Mantoux

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