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1 The Department of Internal Medicine, Washington University School of Medicine.
A patient with tuberculous empyema and non-expandable lung was treated by the pleural instillation of streptococcal concentrates containing streptokinase-streptodornase. The enzyme therapy resulted in prompt expansion of the lung and disappearance of the empyema following aspirations. The enzyme solution may be specific in the treatment of tuberculous empyema when used before irreversible pathological changes have taken place.
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