. Transactions of the sixth International congress on tuberculosis. Washington, September 28 to October 5, 1908. and retained there for four weeks, we observed thislividity and noted that the patient lost ten pounds in weight, had a smallamount of albumin, and a considerable number of epithelial cells in theurine. Examination of blood showed 4,416,000 red blood-corpuscles and10,000 leukocytes, of which 18 per cent, were lymphocytes, 23 per cent, mono-nuclear leukocjrtes, 58 per cent, polymorphonuclear leukocytes, 1 per cent,eosinophiles, hemoglobin 80 per cent. No crystals of bismuth found int
. Transactions of the sixth International congress on tuberculosis. Washington, September 28 to October 5, 1908. and retained there for four weeks, we observed thislividity and noted that the patient lost ten pounds in weight, had a smallamount of albumin, and a considerable number of epithelial cells in theurine. Examination of blood showed 4,416,000 red blood-corpuscles and10,000 leukocytes, of which 18 per cent, were lymphocytes, 23 per cent, mono-nuclear leukocjrtes, 58 per cent, polymorphonuclear leukocytes, 1 per cent,eosinophiles, hemoglobin 80 per cent. No crystals of bismuth found inthe blood. The bismuth paste was at once dissolved by injecting heatedolive oil, withdrawn by Biers suction pump; the symptoms gradually sub-sided, and the case progressed favorably. * Harnack: Arzneimittellehre, 1883, p. E. S. Wood: Trans. American Neur. Assoc, 183, p. Archives of Roentgen Ray, No. 87, October, 1907. § Volkmanns kiin. Vortrage, No. 224. || Deut. ined. Woch., June 20, 1883. ** Munch, med. Woch., February, 1901. ft Munch, mod. Woch., 1901. ^^I^^^^^^^^^^^VMk^^^HV^ V iirmnmii X. ?^ CI. PREVENTION AND TREATMENT OF TUBERCULOUS SINUSES.—BECK. 231 We have also received a report of a case from a physician which bearsall symptoms of bismuth intoxication. A gentleman, fifty-seven years old, poor in health, had suffered fromtuberculosis of his hip-joint since 1896, and after two extensive operationsretained a fistula. Twenty injections of bismuth—a total quantity of aboutone pound of bismuth subnitrate—were given from ]\Iarch 18 until May 19,1908. About that time he developed stomatitis, dark discoloration of thegums, black border around the teeth, diarrhea, great thirst, and desquama-tive nephritis. Symptoms have, however, abated, and his fistula has closedentirely. From the history in this case and from the literature we must admitthat there is a possibility of intoxication from absorption of the bismuth in-jected into sinuses or abscess cavities. W
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