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(Chest. 1947;13:467-470.)
© 1947 American College of Chest Physicians

Oleothorax

W. L. MEYER M.D., F.C.C.P.1

1 South Dakota State Sanatorium.

I feel that there is a very definite place for oleothorax in the treatment of pulmonary tuberculosis.

(1) An oleothorax can maintain a satisfactory collapse in the face of an obliterating pleuritis, if the pneumothorax is clinically satisfactory before the oleothorax is instituted.

(2) In certain selected cases 5 per cent gomenol in mineral oil will render a tuberculous empyema sterile, or at least will so attenuate the organisms that they will not grow either in culture or cause tuberculosis in guinea pigs.

(3) Five per cent gomenol in mineral oil has proven the most satisfactory in our hands. In previous cases other materials have been used in place of gomenol. These have been found satisfactory in so far as they have been used in cases of obliterative pleuritis. They have not proved so satisfactory in cases of tuberculous empyema.






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Copyright © 1947 by the American College of Chest Physicians.