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75
Sixty-two courses were commenced during 1936, of which 24
were current at the end of the year.
Of the 48 courses terminated, 10 were incomplete; one case
had severe complications (erythematous rash and buccal ulceration)
which eventually cleared up; in two cases the disease ended
fatally, the courses of treatment having been stopped some time
previously; 7 patients were transferred or took their discharges,
4 showing improvement and 3 none.
Of the 38 full courses completed, 1,1 were considered quiescent,
24 much improved, 2 not improved ; one patient died some
time after the course ended.
Two preparations were used, suspensions of gold salts in
oil, injected intra-muscularly. Thirty courses of one preparation
were given and 8 of the other. The number of complications in
each series was 4.
The administration of a preparation of Calcium Gluconate
along with the injection of Gold Salts seems to have the effect
of preventing the appearance of complications of the treatment
or diminishing their severity.
There is some evidence that a full course of Gold Salts is
often associated with a diminution in the quantity of sputum or
a complete cessation of its production with a reduction in the
numbers of Tubercle Bacilli in the sputum or their complete disappearance
from it; and with a greater or lesser degree of
resolution of the lung lesion.
Tuberculin
In certain selected cases the administration of Tuberculin
gives favourable results; nine patients were chosen for a series
of injections throughout the year.
Insulin
Where stimulation of the appetite is required and drug stimulants
fail, the use of small doses of Insulin, injected twice daily,
and continued over a period of weeks, has been found in some