Excerpt from Lehigh Valley Medical Magazine, 1899, Vol. 10
Although not always the cause of death, it was found that tuberculosis existed in one-third of those who died during a considerable period of time."
"In 384 autopsies of children who died of acute infectious disease in a hospital in Copenhagen between 1884 and 1887, 198 showed undoubted evidences of tuberculosis. Almost without exception these children had no signs of the disease during life." Notwithstanding all the scientific work which has been done in investigating this disease, and notwithstanding all that has been written on the subject, it sometimes appears that the definition given by Druitt is regarded by a large number of the profession as being the correct one. In no other way can the apparent indifference and lack of knowledge of many medical men be construed. Tuberculosis of the lungs claims many thousands of lives annually and while tuberculosis of the bones may not cause the death of so large a number, it cripples and makes life miserable for thousands who, if their condition were properly appreciated, could be cured and restored to perfect health.
We are all devoutly praying for the tuberculin (or whatever other name it may have), which will cure consumption of the lungs. Fortunately tuberculosis affecting bones and joints is readily curable with little destruction of tissue, if the condition is properly diagnosed and an early operation performed, and in such cases the usefulness of the limb or joint is generally retained. It is particularly a disease of childhood and youth, attacking any part of the bony skeleton but preferably the knee-and hip-joint. There are many cases in which the joints are not involved. The disease may originate in the epiphysis, extend down the shaft and through softening and disintegration of bone and soft parts open externally without involving the joint. There is doubtless an inherited predisposition in certain families to the disease. "According to Brandenburg of Basle, of 141 children with tuberculosis and 162 with bone tuberculosis, all being under four years of age, 34 per cent, were children of distinctly tuberculous parents. Bollinger of Budapest reports 250 cases of bone and joint tuberculosis, in 97 of which either the parents or the grandparents were tuberculous."
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