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DEVELOPMENT OF TUBERCULOSIS IN ADULT LIFE

DEVELOPMENT OF TUBERCULOSIS IN ADULT LIFE Abstract When the words phthisis and consumption were employed by Hippocrates, they designated exactly what the physician saw when he made the diagnosis. Later, when it was known that the disease usually exists for a long time before the body visibly wastes away, the word tuberculosis was coined. This word is all inclusive and in the light of recent observations may be applied to the disease from the time the neutrophils first phagocytose tubercle bacilli until the death of the host results. Until recently physicians were unwilling to make a diagnosis of tuberculosis until clinical manifestations were present, such as symptoms and abnormal physical signs, with roentgen findings, or until the laboratory methods revealed tubercle bacilli in the sputum or pleural effusion or elsewhere. Although diagnoses based on these criteria were made far earlier in the course than those in the time of Hippocrates and for many centuries thereafter, they usually References 1. Sweany, Henry: Studies on the Pathogenesis of Primary Tuberculous Infection , Am. Rev. Tuberc. 27:559, 1933. 2. Wallgren, Arvid: Primary Pulmonary Tuberculosis in Childhood , Am. J. Dis. Child. 49:1105 ( (May) ) 1935. 3. Baldwin, E. R.: Studies in Immunity to Tuberculosis: I. Hypersusceptibility or Anaphylaxis , J. M. Research 22:189, 1910. 4. Krause, Allen K.: Factors in the Pathogenesis of Tuberculosis , Am. Rev. Tuberc. 18:208, 1928. 5. Hetherington, H. W.; McPhedran, F. M.; Landis, H. R. M., and Opie, Eugene L.: A Survey to Determine the Prevalence of Tuberculous Infection in School Children , Am. Rev. Tuberc. 20:421, 1929. 6. Fourth Annual Report of the Tuberculosis Committee of the American Student Health Association , Journal-Lancet 55:350 ( (June 1) ) 1935. 7. Heimbeck, J.: Immunity to Tuberculosis , Arch. Int. Med. 41:336 ( (March) ) 1928.Crossref 8. Tuberculin Testing of the French Army, Paris letter , M. Rec. 142:524, 1935. 9. Myers, J. A.; Diehl, H. S., and Lees, H. D.: The Student Nurse and Tuberculosis , J. A. M. A. 102:2086 ( (June 23) ) 1934.Crossref 10. Geer, Everett K.: Tuberculosis Among Nurses , Arch. Int. Med. 49:77 ( (Jan.) ) 1932.Crossref 11. Heimbeck.6 12. Myers, Diehl and Lees.8 13. Factors in the Falling Death Rate from Tuberculosis , editorial, Ann. Int. Med. 9:1154 ( (Feb.) ) 1936.Crossref 14. Myers, J. A.: (a) Recent Facts on Transmission of Tuberculosis , J. A. M. A. 97:316 ( (Aug. 1) ) 1931Crossref 15. Types of Tuberculous Lesions Found in Chests of Students of Nursing and Medicine , Am. Rev. Tuberc. 28:93, 1933. 16. Harrington, F. E.: Childhood Type Tuberculosis: A Report of Ten Years of Activity, 1921-1931 , Lymanhurst School for Tuberculous Children, Minneapolis, The Board of Public Welfare, 1932. 17. Chown, Bruce, and Medovy, Harry: Pulmonary Tuberculosis in Childhood , Canad. M. A. J. 29:364, 1933. 18. Reichle, H. S.: Resolving Exudates in Pulmonary Tuberculosis of Childhood , Am. J. Dis. Child. 45:307 ( (Feb.) )Crossref 19. 46:969 (Nov.) 1933. 20. Heimbeck, J.: Ueber Infektion und Vakzination bei Tuberkulose , Med. Klin. 29:1731, 1933. 21. Rist, E.: Opening of a Sanatorium for Students , M. Rec. 142:522, 1935. 22. Geer, Everett K.: Primary Tuberculosis Among Nurses , Am. Rev. Tuberc. 29:88, 1934. 23. Rigler, Leo G., and Exner, Frederick B.: The Latent Period in the Roentgen Diagnosis of Pulmonary Tuberculosis , J. A. M. A. 102:1750 ( (May 26) ) 1934.Crossref 24. Myers, J. A.: The First-Infection Type of Tuberculosis: Its Preallergic and Postallergic Stages of Development , Am. Rev. Tuberc. 34:317, 1936. 25. Myers, J. A.; Harrington, F. E.; Stewart, C. A., and Wulff, Marjorie: First-Infection-Type Tuberculosis: Its Treatment and Prognosis , Am. Rev. Tuberc. 32:631, 1935. 26. Myers, J. A.: Treatment, Prognosis and Prevention of First Infection Type of Tuberculosis , Journal-Lancet 56:24, 1936. 27. Lemon, W. S., and Montgomery, L. G.: Pleural and Pulmonary Lesions Resulting from Intrapleural Injection into Rabbits of Mycobacterium Tuberculosis , J. Thoracic Surg. 3:612, 1934. 28. Rigler, Leo G.: Roentgen Diagnosis of Small Pleural Effusions , J. A. M. A. 96:104 ( (Jan. 10) ) 1931.Crossref 29. Myers, J. A.: Collapse Therapy and the Ambulatory Patient , J. Thoracic Surg. 3:175, 1933. 30. Myers, J. A., and Levine, Ida: Artificial Pneumothorax in the Treatment of Progressive Minimal Pulmonary Tuberculosis , Am. Rev. Tuberc. 31:518, 1935 31. Artificial Pneumothorax: With Particular Reference to the Ambulatory Patient , J. Thoracic Surg. , to be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1937.00170170007001
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Abstract

Abstract When the words phthisis and consumption were employed by Hippocrates, they designated exactly what the physician saw when he made the diagnosis. Later, when it was known that the disease usually exists for a long time before the body visibly wastes away, the word tuberculosis was coined. This word is all inclusive and in the light of recent observations may be applied to the disease from the time the neutrophils first phagocytose tubercle bacilli until the death of the host results. Until recently physicians were unwilling to make a diagnosis of tuberculosis until clinical manifestations were present, such as symptoms and abnormal physical signs, with roentgen findings, or until the laboratory methods revealed tubercle bacilli in the sputum or pleural effusion or elsewhere. Although diagnoses based on these criteria were made far earlier in the course than those in the time of Hippocrates and for many centuries thereafter, they usually References 1. Sweany, Henry: Studies on the Pathogenesis of Primary Tuberculous Infection , Am. Rev. Tuberc. 27:559, 1933. 2. Wallgren, Arvid: Primary Pulmonary Tuberculosis in Childhood , Am. J. Dis. Child. 49:1105 ( (May) ) 1935. 3. Baldwin, E. R.: Studies in Immunity to Tuberculosis: I. Hypersusceptibility or Anaphylaxis , J. M. Research 22:189, 1910. 4. Krause, Allen K.: Factors in the Pathogenesis of Tuberculosis , Am. Rev. Tuberc. 18:208, 1928. 5. Hetherington, H. W.; McPhedran, F. M.; Landis, H. R. M., and Opie, Eugene L.: A Survey to Determine the Prevalence of Tuberculous Infection in School Children , Am. Rev. Tuberc. 20:421, 1929. 6. Fourth Annual Report of the Tuberculosis Committee of the American Student Health Association , Journal-Lancet 55:350 ( (June 1) ) 1935. 7. Heimbeck, J.: Immunity to Tuberculosis , Arch. Int. Med. 41:336 ( (March) ) 1928.Crossref 8. Tuberculin Testing of the French Army, Paris letter , M. Rec. 142:524, 1935. 9. Myers, J. A.; Diehl, H. S., and Lees, H. D.: The Student Nurse and Tuberculosis , J. A. M. A. 102:2086 ( (June 23) ) 1934.Crossref 10. Geer, Everett K.: Tuberculosis Among Nurses , Arch. Int. Med. 49:77 ( (Jan.) ) 1932.Crossref 11. Heimbeck.6 12. Myers, Diehl and Lees.8 13. Factors in the Falling Death Rate from Tuberculosis , editorial, Ann. Int. Med. 9:1154 ( (Feb.) ) 1936.Crossref 14. Myers, J. A.: (a) Recent Facts on Transmission of Tuberculosis , J. A. M. A. 97:316 ( (Aug. 1) ) 1931Crossref 15. Types of Tuberculous Lesions Found in Chests of Students of Nursing and Medicine , Am. Rev. Tuberc. 28:93, 1933. 16. Harrington, F. E.: Childhood Type Tuberculosis: A Report of Ten Years of Activity, 1921-1931 , Lymanhurst School for Tuberculous Children, Minneapolis, The Board of Public Welfare, 1932. 17. Chown, Bruce, and Medovy, Harry: Pulmonary Tuberculosis in Childhood , Canad. M. A. J. 29:364, 1933. 18. Reichle, H. S.: Resolving Exudates in Pulmonary Tuberculosis of Childhood , Am. J. Dis. Child. 45:307 ( (Feb.) )Crossref 19. 46:969 (Nov.) 1933. 20. Heimbeck, J.: Ueber Infektion und Vakzination bei Tuberkulose , Med. Klin. 29:1731, 1933. 21. Rist, E.: Opening of a Sanatorium for Students , M. Rec. 142:522, 1935. 22. Geer, Everett K.: Primary Tuberculosis Among Nurses , Am. Rev. Tuberc. 29:88, 1934. 23. Rigler, Leo G., and Exner, Frederick B.: The Latent Period in the Roentgen Diagnosis of Pulmonary Tuberculosis , J. A. M. A. 102:1750 ( (May 26) ) 1934.Crossref 24. Myers, J. A.: The First-Infection Type of Tuberculosis: Its Preallergic and Postallergic Stages of Development , Am. Rev. Tuberc. 34:317, 1936. 25. Myers, J. A.; Harrington, F. E.; Stewart, C. A., and Wulff, Marjorie: First-Infection-Type Tuberculosis: Its Treatment and Prognosis , Am. Rev. Tuberc. 32:631, 1935. 26. Myers, J. A.: Treatment, Prognosis and Prevention of First Infection Type of Tuberculosis , Journal-Lancet 56:24, 1936. 27. Lemon, W. S., and Montgomery, L. G.: Pleural and Pulmonary Lesions Resulting from Intrapleural Injection into Rabbits of Mycobacterium Tuberculosis , J. Thoracic Surg. 3:612, 1934. 28. Rigler, Leo G.: Roentgen Diagnosis of Small Pleural Effusions , J. A. M. A. 96:104 ( (Jan. 10) ) 1931.Crossref 29. Myers, J. A.: Collapse Therapy and the Ambulatory Patient , J. Thoracic Surg. 3:175, 1933. 30. Myers, J. A., and Levine, Ida: Artificial Pneumothorax in the Treatment of Progressive Minimal Pulmonary Tuberculosis , Am. Rev. Tuberc. 31:518, 1935 31. Artificial Pneumothorax: With Particular Reference to the Ambulatory Patient , J. Thoracic Surg. , to be published.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1937

References