Tuberculosis in Children: Evolution—Control—Treatment

The clinical material in this stout volume of more than 600 pages derives from the authors' large hospital and out-patient experience in northeastern England and South Wales. It comprises the records of 2,500 children, but for the most part the material relates to 1,200 children treated for tuberculosis since 1947, when the era of specific antimicrobial therapy began. To American readers the reported frequency of cutaneous primary infections (34 cases) will come as a surprise, so also will the authors' deductions from this observation that most superficial tuberculous lymphadenitis is a local manifestation of cutaneous or mucosal primary infections. The prevalent view in the United States is that in most cases of superficial tuberculous lymphadenitis (including cervical) the nodes are infected by the lympho-hematogenous route from a primary complex within the chest. There is adequate discussion of therapy, including surgical considerations, not only of primary tuberculosis and its immed ate