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(Chest. 1951;19:424-437.)
© 1951 American College of Chest Physicians

Early Major Surgery After Streptomycin In the Treatment of Acute Pulmonary Tuberculosis

JOSEPH K. NEWTON M.D., F.C.C.P.1; LAWRENCE M. SHEFTS M.D.2; and MANLEY B. COHEN M.D.

1 Tuberculosis Service, Veterans Administration Hospital, Kerrville, Tex.
2 Consultant in Thoracic Surgery, Veterans Administration Hospital, Kerrville, Tex.

In the past 36 months we have treated eight patients for acute tuberculous pulmonary disease with streptomycin, followed within five months by major surgery. Surgical therapy was employed as early as it was thought that the acute lesions had become stabilized, or when early maximum improvement was considered to have occurred. All patients are clinically in good condition. One patient only, at the last report, has had positive cultures of gastric contents.

The time from onset of disease to surgical collapse or excision averages less than six months, and in six of the eight, averages slightly over four months.

Follow-up on these patients now ranges from seven to 32 months post-operatively.






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Copyright © 1951 by the American College of Chest Physicians.