PULMONARY TUBERCULOSIS

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Abstract
Tuberculosis is a disease that begins locally and is followed by general dissemination. In this respect it resembles many other infectious diseases as, for example, syphilis, and, like syphilis, it destroys tissue, leaving scars or fibrosis when the infection has been overcome. The local destruction by either tuberculosis or syphilis may produce mechanical conditions that are permanent even though the disease itself is no longer active. One example is stricture of a hollow viscus. These residual disturbances may require operations for relief or even to save life. Since the discovery of reliable methods of killing the spirochete, the need for operations in syphilitic disease is seldom felt. On the contrary, deformities left by tuberculosis of the lungs are still frequently encountered and form the principal group that calls for operative therapy. The cure of tuberculous cavities with their dangers of locally spreading the infection, of septic absorption or of mixed

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