110 Tuberculosis. 



In both cases it was possible to trace the consumption of mill 

 containing the bacilli up to the nursing age. In one case it laste( 

 for one and a half years, in the second case one year, and in th< 

 latter case the udder affection had been recognized for thre< 

 months during the period that the child had been using the milk 



In both cases the respective cow was affected with a sever* 

 tuberculosis of the udder in all four quarters ; the milk had beei 

 consumed at all times mixed with the milk of a second cow, in th< 

 first case boiled or raw but in the second case only raw. 



The other members of the family remained well in spite o: 

 the consumption of this milk ; in both instances only the younges 

 child became affected with tuberculosis of the cervical glands. 



In the first case another child of four, and one of five years 

 was included in the family ; in the second case children of the ag< 

 of 3, 4, 7, 8, 9 and 12 participated in the consumption of the milk 

 all remaining normal. 



The tuberculosis of the cervical glands healed in the tw( 

 youngest after abscess formations, leaving several slightly en 

 larged small glands in the surrounding parts. One of the boys 

 appears to be in the best of health, the other is somewhat behind ii 

 his development (at the age of 2 % years he weighs 25fbs.) ; in tin 

 last six weeks however his weight increased slightly more thai 

 1 lb. 



In the cases of the second group there exists suspicion of { 

 bovine type of infection. 



In six children and one adult there are swellings of the cervi 

 cal lymph glands and in four children and one adult a suspicioi 

 of abdominal tuberculosis is given. One child is affected witl 

 scrofula. In the four children the manifestations of disease re 

 trogressed, while in the adult it appears doubtful, according t( 

 Weber, whether the affection is of a tuberculous nature. 



Forty-one persons are included in Group 3, who consumec 

 milk in a raw state from cows affected with tuberculosis of th< 

 udder. This was at times mixed with milk of other cows. A girl o: 

 16 years of age and a boy four years old, who died of tuberculosis 

 were included in this group. The producers of their infections 

 were bacilli of the human type. A man and a woman who wer( 

 affected with pulmonary tuberculosis (human type), a boy witl 

 suppuration of the middle ear and cervical lymph glands (no' 

 tubercular) ; an 18-year old boy with rheumatism of the joints 

 and valvular heart trouble, chronic diarrhea and pulmonary symp 

 toms (not tubercular) ; a woman with catarrh of the apex of th( 

 lungs (not tubercular) ; a woman with swelling of the glands 

 diarrhea, cough, night sweats and emaciation (inoculation o1 

 sputum without results), and a woman and a man with pulmonary 

 symptoms (not tubercular)* were also in the total of forty-one. 



The cases in which a boy and a girl died from tuberculosis 

 are of especial importance. In spite of the prolonged consump 



