Identifier: journalofradiolo3192radi (find matches)
Title: Journal of radiology
Year: 1922 (1920s)
Authors: Radiological Society of North America American College of Radiology and Physiotherapy
Subjects:
Publisher: Omaha, Neb., : (Radiological Pub. Co.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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astly, syphilisis more frequently unilateral and cir-cumscribed than tuberculosis. I have not been able to find in theliterature that spirochaetae have beendemonstrated in the lung tissue. InDArcy Powers System of Syphilisa case is reported in which spirochaetaewere found in the sputum, but, whenone considers all the spirochaetae to befound in the mouth one realizes howextremely difficult it would be to dif-ferentiate it. The x-ray is invaluable in the diag-nosis of pulmonary syphilis, frequentlyrevealing the flame-shaped shadowabout the hilus with the fibrous strandsmnning out along the septa. This pic-ture, although not absolutely character-istic, is very different from that due totuberculosis. The physical signs, like the symp-toms, are not characteristic, but dependupon the character and location of thelesion. Many things may help in morefrequent discovery of this supposedlyrather rare condition, and among theseare the following: the presence ofsymptoms referable to the lungs, the
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PULMONARY SYPHILIS—CONLIN absence of tubercle bacilli upon re-peated examination, the history of syph-ilitic infection, plus the presence ofother manifestations of syphilis in otherparts of the body, or the presence of apositive Wassermann reaction, and, asLisser says, (10) the lack of propor-tion between the gravity of the physicalfindings, the severity of the symptoms,and the astonishingly good appearanceof the patient, and the bearing in mindwhat Virchow (2) has said, which wehave already quoted. PrognosisIf the disease is not recognized intime the emaciation will becomemarked, lesions in other viscera willoccur, and death may result from gen-eral weakness or from complications.It is surprising how much can be done,however, even in markedly enfeebledpatients by prompt anti-syphilitic treat-ment. Pulmonary lues lessens the resistanceof a patient and renders him moreliable to tuberculous infection. Whentuberculosis is added to an active, viru-lent syphilis the tuberculosis pursues

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