TUBERCULIN THERAPY 209 



culous peritonitis, and we have seen equally bad cases 

 recover without tuberculin after simple laparotomy. 



Tuberculous laryngitis is nearly always associated 

 with pulmonary involvement and tuberculin has at- 

 tained but indifferent success, although a few ob- 

 servers have reported excellent results. It would ap- 

 pear that the association of local treatment is a most 

 important part of the management of this affection. 



Ocular tuberculosis includes chronic conjunctivitis, 

 phlyctcenular and interstitial keratitis, iritis, iridocycli- 

 tis and retinochoroiditis, and seems to be a field wherein 

 the results of tuberculin therapy have been most 

 happy. Remarkable results have been obtained with 

 " B. E." and to a less extent with " T. R." Old 

 tuberculin seems to be definitely contra-indicated in 

 all ocular affections. 



Chronic mastoiditis and otitis media, at times, have 

 responded brilliantly to tuberculin immunization. 

 Again, when the inoculations have been without effect, 

 operative intervention has revealed carious bone. 



Tuberculin therapy in chronic cervical lympha- 

 denitis, in the absence of indicated lymphadectomy, 

 that is, when the nodes have undergone marked casea- 

 tion or hquefactive necrosis, and particularly follow- 

 ing the removal of diseased tonsils and adenoids, has 

 enjoyed considerable success and should be employed 

 in the future more extensively than has been the cus- 



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