Report of the Committee on Rehabilitation

CHAPTER 5: A Concept of Pulmonary Tuberculosis in Childhood

“…Lincoln (1955), Nelson (1955) and Robinson (1951) all considered that the lung lesions represented tuberculous pneumonias (if originating from the Ghon), or were otherwise atelectatic lesions possibly with some ‘ pneumonitis ‘ associated.…”

Tuberculous Meningitis

“…Tubercle bacilli may on occasion be isolated from the cerebrospinal fluid. This event probably represents a perifocal reaction around meningeal seedlings which do not survive’ (Lincoln, 1947). Such potentially benign alterations in the cerebrospinal fluid, which comprise pressure rise with cell and protein increase, usually without alteration in sugar content, have been labelled ‘tuberculous serous meningitis and are described by numerous observers (Chloremis, 1948; Debré, 1951, and Illingworth, 1951).…”

Fugitive Pericarditis

“…Wallgren stated that the acute benign pericarditis of his two cases was comparable to that of acute tuberculous allergic serofibrinous pleurisy and differed from the usual tuberculous pericarditis in that recovery was rapid and complete. In view of the favourable prognosis an analogy with the tuberculous serous meningitis described by Lincoln (1947) is al sug d. The interval of one month between the initial infection and the complicatng pencarditis corresponds to the stage of generalization of the infection when miliary tuberculosis or tuberculous meningitis most often develops. As Walxen pointed out this raises the possibility of a blood stream infection of the pericardium, but direct extension from enlarged mediastinal glands is just as likely.…”