-11-
3. The constant finding of tuberculous mediastinal glands where a lung focus WRO
present.
69
In adult cases this has certainly not been my experimos here, but it appears to
hold good with nearly all cases in children. The following exceptions are, therefore
worthy of notar
No 67. A female child of one year. The lunga vera extensively involved in a tuber-
sulous broncho-pneumonia and there was a definite foo inthe left lower lobe. The
Ings were the only organs found affected. As regards the mediastinal glands the
broncho-pulmonary and two of the tracheo-bronchial on the right side (not that on
which the fooua mo som) wore molim and congested,but contained no evidence of
left tubercles, and the glanda on the side were not affected at all.
In the following four cazes, though food were present in sach and the disease vRO
also of considerable extent in the lungs,no corresponding taberculous affection of
the medinstizal glands vas present. The explanation in these may be that owing to
the tender age of the patients death took place bafbre there was time for glenad,
involvement to noour,
Bo 120. A female ingentonly 27 days old. In this there was afocus the size of a peu in the lower lobe of the right lưng, with niliary tüorales around it, and ink the
left lower lobe veme numerous mall gray tubercles,
No 314,,also a faulo, aged 24 days. In this ense the pulmonary affection was nore
widespread. Thâs,in addition to the focus in the middle lobe of the right lung, there
wara numer us grey tubercles in that lobe and in the right upper, and also in both
lobes of the left, together with tuberculous broncho-pneuonia of the right lowest
lobe.
No 389. A female infant of 2 days. In this the lung wis extensively involved. There
was a subagɔlocal bous the size of a pea in the right lung, tuberculous broncho-pnours-
onda of the rest of that lung and of the lower lobe of the left, while the upper
lobe of the latter showed many tubercles from miliary to the size of a pin-head.
No 324. A little older,a unle child of 7 weeks, In this there was a congested and slightly swollen mediastinal gland, whereas the lung condition was severe. There was a casected focus, Die size of a pes,in the right upper lobe with a ring of tubercles around it, and in the lower a cavity as large as a cherry; milia vore scattered generally in this lung. In the left there wars a few miliary tubereles in the upper lobe and a condition of early tuberculoun broncho-prsumonde in the lower,
In those four,as stated, the condition possibly brought about donth too rapidly for