The Treatment of Kala-Azar Complicated with Pulmonary Tuberculosis
نویسنده
چکیده
The difficulty of treatment of kala-azar when associated with pulmonary tuberculosis has been recognized by all workers who have come across such cases. Napier (1937) considered pulmonary tuberculosis and kala-azar to be a fatal combination. He had observed that when kalaazar and pulmonary tuberculosis co-existed, antimony treatment had little or no effect on the symptoms, fever and splenic enlargement, and that, on the other hand, the lung lesions underwent rapid extension when antimony was given. The antimonials were the only specific for kala-azar, and these had a malign influence on the course of pulmonary tuberculosis. Napier (loc. cit.) considered that there seemed to be a possibility that by using a small dosage in these cases, one might cure kala-azar without producing the unfavourable reaction. In any case, he felt that this was the only course to follow, because it was but rarely that kala-azar underwent spontaneous cure, and it was unlikely that one could stop the tuberculous process in
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