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Updated: June 18, 2025
Clinically, the condition resembles tuberculous disease of the synovial membrane, for which it is probably frequently mistaken, but in the syphilitic affection the swelling is nodular and uneven, and the subjective symptoms are slight, mobility is little impaired, and yet the deformity is considerable.
The abscess tends to increase in size by progressive liquefaction of the inner layers, caseation of the outer layers, and the further invasion of the surrounding tissues by tubercle bacilli. In this way a tuberculous abscess is capable of indefinite extension and increase in size until it reaches a free surface and ruptures externally.
In superficial bones, such as the sternum, the formation of tuberculous granulation tissue in the deeper layer of the periosteum, and its subsequent caseation and liquefaction, is attended by the insidious development of a doughy swelling, which is not as a rule painful, although tender on pressure.
It is said that practically all the new-born in recent years, partly through the privations of the mothers and partly from the lack of milk, are tuberculous. The conditions of life are so serious that there is no comparison; some prices have only risen five to tenfold, but very many from thirty to fifty and even higher.
Also, it is of great value to send a patient to a resort where the climate is good and the scenery is lovely and soothing. No disease, perhaps, needs cheerfulness and pleasantness and lack of anxiety, or frets more than does cardiac weakness. A tuberculous patient may sit on a mountain top with snow blowing about him, and recover; a heart patient must have sunshine and comfort.
Its burden rests, not upon the unfortunate individual who has become tuberculous, but upon the community which, by its ignorance, its selfishness, and its greed, has done much to make him so. What civilization has caused it is under the most solemn obligation to cure.
There is no avoidance of tuberculous suspects; they cough, and the men spit everywhere in the streets and on the floors and carpets of the clubs. The women suffer for want of fresh air, though now with the example of the English queen before them and the young girls who used to lie abed till noon getting up early ta play tennis, it will be different.
He knew that the tuberculous manticore only flutters about, so to say, that it walks rather than flies. He then knelt, and succeeded in perceiving, at less than ten inches from his eyes, the black point that was gliding rapidly in a ray of light. Evidently it was better to study it in this independent attitude. Only he must not lose sight of it.
Kennard could not see what he was doing, but felt it with supersensitive instinct all the time. He lay quite still beneath the weight of that miscreant, feigning unconsciousness, yet hardly able to breathe. That tuberculous caitiff was such a towering weight.
There is many a farmer from whom it is morally safe to purchase an acre of ground, but one cannot be sure in purchasing a cow from him that she will not be tuberculous. These are new standards not required by the old economy and not taught in the old meeting-house.
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