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very considerable keloid scar formation, as well as evidence of tuberculosis
in other parts of her body; e.g., right arm, ribs and lungs
(T.B. pleurisy).
S.B. is doing very well. His colour and foot are both improved,
and he has increased five pounds in weight. The lesion on his foot
is well on the way to cure. Several of the ulcers are apparently
healed and the others are rapidly healing.
Note. —This boy has been suffering from tuberculosis of the foot
since June, 1918, and for some years attended the Great Ormond
Street Hospital, getting treatment for this disease.
I.R. is in very good condition. She had a slight relapse about
two months ago, but is now quite well. She has gained eight pounds
in weight since the relapse. The numerous large tubercular glands
have diminished very much in size, but there is still evidence of
enlarged bronchial glands.
Note.—This child has been under treatment for tuberculosis
for about five years. She has had prolonged sanatorium treatment
in this country, including a period of about 15 months in a sanatorium,
at the end of which time the Medical Superintendent recommended
her removal as she was not improving. She had also had treatment
with Dreyer's Special Vaccine which did not seem to do her any good.
M.S. is in excellent general health, has a good colour and is well
pigmented. The swelling of the knee has completely gone down, and
there is now no pain at all. The discharging sinus has been healed
for two and a half months, and the cervical glands are very much
smaller. Her weight has increased by 16 lbs. since arrival.
Note.—This patient has been suffering from tuberculosis of
the knee for about six years. She has had prolonged institutional
treatment in this country, including about four years at Margate.
She has also had operative treatment, and although she improved
temporarily at Margate she had a relapse on her return, and when
she went to Leysin there was active disease of the knee joint with
discharging sinuses."