Modern surgery, general and operative . atit can only arrest spasm temporarily and its use is a great risk. Murphy reports the recovery of a case after spinal puncture and injection•of morphin and eucain into the theca of the cord (Jour. Am. Med. Assoc,August 13, 1904). I have seen but four recoveries from acute tetanus. Twocases of acute tetanus recovered after intraspinal injection of antitoxin. Oneacute case recovered after the subcutaneous use of antitoxin. One acute caserecovered after Bacellis treatment. I have known 4 cases of chronic tetanusto recover: i was treated by chloral and brom
Modern surgery, general and operative . atit can only arrest spasm temporarily and its use is a great risk. Murphy reports the recovery of a case after spinal puncture and injection•of morphin and eucain into the theca of the cord (Jour. Am. Med. Assoc,August 13, 1904). I have seen but four recoveries from acute tetanus. Twocases of acute tetanus recovered after intraspinal injection of antitoxin. Oneacute case recovered after the subcutaneous use of antitoxin. One acute caserecovered after Bacellis treatment. I have known 4 cases of chronic tetanusto recover: i was treated by chloral and bromid only, 3 were treated by chloraland bromid and antitoxin subcutaneously. XIII. SURGICAL TUBERCULOSIS Tuberculosis is an infective disease due to the deposition and multipli-cation of tubercle bacilli in the tissues of the body. The term surgical tuber-culosis is applied to all of those numerous tuberculous lesions that may demandsurgical treatment. Such lesions may exist in different structures, often seem 236 Surgical Tuberculosis. clinically to be strictly localized j)rocesses, and in many instances may be ex-tirpated, drained, or sterilized. Among the conditions placed under the head-ing of surgical tuberculosis are: Tuberculosis of glands, of bones, of joints,and of the skin. These lesions are most common in children, the majorityof cases are curable, and they are not so often associated with or followed bypulmonary phthisis as are some other tuberculous lesions. They tend in manycases to remain local and, beyond doubt, a considerable numl)er of them aredue to infection with bovine bacilli. Tuberculosis is characterized eitherby the formation of tubercles or by widespread cellular proliferation (diffusetubercle) or by fibrinous exudation, which is very rich in cells. Tuberculousconditions tend to caseation, sclerosis, or ulceration. • A tubercle is a non-vascular infective focus, appearing to the unaided visionas a semitransparent gray or yellowish mass the size of a
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