ON THE SPREAD AND PREVENTION OF TUBERCULOUS DISEASE IN PONDOLAND, SOUTH AFRICA

J. G. Millar
1908 BMJ (Clinical Research Edition)  
TJOURNAL,] TUBERCULOUS DISEASE IN PONDOLAND. [FEB. 15, 1908. wlth tuberculin from the lung, and that the index always showed a tendency to fall unles3 pashed up with tuberculin R. CASE X. A young chief, aged 23, of the Fame family as the above gentlemao, consulted us four montbs ago complaining of malaise, lack of energy, and occasional fever, subsiding apparently under quinine. He had lost flesh, and complained of pain in the eptgastrium from time to time, not connected with his meals, two
more » ... his meals, two years ago an attack ot similar pain was relieved by santonin and the p&ssage of a round worm. On this ocoasion it. fatled. His temperature was frequently taken, and was generally below normal. His urine was normal ; there wag no blood, pus or albumen, but it contained tubercle bacilli. He oomplainea at times of a slight burning when passing urine. His index has been kept high by injections of tuberculin R. during the last four mnonths. He has regained his weight, his energy, and his appetite. Here, then, is another ease of tuberculous cacbexta wshich, jndging from the numbers of cases of phthisis whlch have manifested them. selves in his famUy. would, we feel, hava rapidly drifted into tuberculosis of the lungs. CASE XI. A young Hindu hospital assistant, more or less On attendance on the above case, complained of weakness, dyspepsia. and epigastric paip. There was nothingremarkable about his previous history. His symptoms were of three months' dura. tion. His opsonio Index was 0.9. An examination of his urine showed tuberele bacilli. RB, a Hindu, aged 20, was admitted into the Charitable Hosptit4j Indore, on October 7th, 1907, as he is a personal servant of one. of ns. His previous history and the history of his prqsent condition are well known. A year ago he suffered from remittent fever lasting for three weeks, and was treated by hypodermics of quinine, but wltbout much effect. His recovery appeared to be complete. In September, 1907, he was again attacked with fever, and though his lungs were
doi:10.1136/bmj.1.2459.380 fatcat:ju3x6cx62javtpapcw4e73slpy