— 34 — 



We have purposely left for the last 

 that which refers to ganglionic tuber- 

 culosis. 



The majority of authors agree that 

 the infection of the ganglionic system 

 constitutes a complication of a secon- 

 dary character. 



According to the authors referred to, 

 we should seek for the first symptoms 

 of tuberculosis in the great thoracic 

 and abdominal cavities, in the first of 

 these above all because they suppose 

 the lungs to be always affected. Our 

 experience obliges us to form a diffe- 

 rent opinion. 



Accordingtothe investigations realized 

 the most general initial injury, the primal 

 injury, that which is most .frequently 

 found in organisms affected by the 

 bacilli of Koch, is the injury of the 

 ganglions, with no other complication. 



In 1906 this fact had already claimed 

 the notice of Harrison, who had proved 

 its veracity in post-mortem on subjects 



