Pulmonary tuberculosis
Pringle, M.A.
Proceedings Transvaal Mine Med Officers Assoc 26(286): 75-76
1946
DOI: 10.1001/jama.1916.02590120055028Document Number: 499450
Tuberculosis is a prevalent scourge in S. Africa-. The disease in natives is more acute and rapid than in Europeans and therefore does not respond as favorably to treatment. Many American authorities report the same condition among Negroes in the U.S.A. The native Bantu is more susceptible to extra-pulmonary forms of tuberculosis. At the sanatarium X-ray diagnosis (miniature films) has been the most important aid. Blood sedimentation rate is more useful in assessing the prognosis and progress than for diagnosis. Sputum tests are often unreliable. Guinea pig inoculation may have to be used. Bantus or other natives do not willingly submit to artificial pneumothorax therapy or long treatment. Pneumo-peritoneum collapse will probably prove to be as useful as any form of treatment; it gives a measure of rest to the lungs, particularly if the phrenic nerve has been interrupted. Sulfa drugs are useful in controlling secondary infections.