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The pathologic changes in tuberculosis of the spine are well known, and the clinical picture of the disease is recognized without much difficulty. In contrast, tuberculosis of the os coccygis presents a rather characteristic pathologic picture, which has been but seldom described and is generally unrecognized clinically. This has led to failure of diagnosis, years of invalidism in the patients thus affected, and futile operative procedures for the cure of the lesion. The literature of the subject is sparce. Darrah 1 compiled twenty cases in 1893, and in 1904-1905 Caubet 2 reported three cases he had observed and reviewed twenty-five cases compiled from the literature, including Darrah's. With the exception of these reports, only one reference to the subject has been found since 1905. The histories of two patients observed during the past year will be given, as they illustrate well the essential pathology and clinical picture. Case 1. —Mrs.
JAMA – American Medical Association
Published: Jan 5, 1924
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