TREATMENT OF GENITO-URINARY TUBERCULOSIS WITH STREPTOMYCIN AND SYNERGISTIC DRUGS

The use of newer drugs in the treatment of genito-urinary tuberculosis is usually auxiliary to accepted surgical and medical procedures. The treatment of choice is removal of the tuberculous focus by surgical methods whenever this can be achieved. Risk of tuberculous complications of surgical operation may be greatly reduced by the use of these drugs. There is also a significant place for such treatment when disease is too far advanced to permit surgical removal. Under these conditions, the principal result is one of palliation only in many circumstances. The drugs of choice at this time are a combination of streptomycin and para-aminosalicylic acid (PAS) and the treatment is frequently more prolonged than in the case of tuberculosis of other organs.     

扶正固本丸对肺结核患者肠道菌群的影响

应用中药扶正固本丸治疗活动性肺结核,结果表明扶正固本丸治疗组病人菌群失调的恢复明显优于化疗对照组,因而说明扶正固本丸具有改善活动性肺结核病人菌群失调及免疫功能,增强定植抗力,促进病变吸收和治愈的作用。     

TUBERCULOSIS IN CHILDHOOD

Those physicians who deal with children have much to contribute toward case finding in tuberculosis among these patients as well as adults. The tuberculin test is the most accurate weapon at hand. Contacts other than the parents should be looked for. Symptoms, beside fever, to be noted are eye and skin complaints. In the physical examination the chest is relatively unimportant as compared to the eye, the skin, the lymphatic and skeletal systems. In the roentgenographic examination, epituberculosis and atelectasis should be differentiated. When stomach washings are necessary for the diagnosis, the tuberculin test on the guinea-pig should not be forgotten. Careful laboratory studies will clear up roentgenographic confusion.In the treatment, removal of contact is essential, and often all that is necessary, but other factors should be considered. Of the more common complications, atelectasis, bronchiectasis, and cavitation or reinfection, may be treated surgically with all the accepted methods except thoracoplasty. Heliotherapy should not be forgotten in bone and joint tuberculosis. It is to be hoped that BCG will prove efficacious in vaccination, but published reports are not scientifically convincing. It destroys the value of the tuberculin test where used, and it should never be substituted for removal of contact as a prophylactic measure.