in in other cases the disease may proceed through all its stages
without any cerebral appearances whatever. This is especially true of
small tubercles and of diseases of infants. However, we more frequently
observe in children than in adults convulsions of varied intensity and
distribution.

Nutrition is more and more impaired as the disease progresses, in
isolated cases only, a temporary improvement may be observed.

The _end_ of cerebral tuberculosis has been _death_ before this. Ten
days to two weeks, even three weeks may pass from the first appearance
of tubercular meningitis to the completion of the process of the
disease, attended by feverish motions characteristic of this condition
and by cerebral symptoms, first with the character of excitement, later
on with that of palsy.

The treatment of cerebral tuberculosis has been entirely insufficient
before this. Let us hope that it will be possible to effect a cure by
means of Koch's new method.

_Tuberculosis of the Kidneys_ is met with from the earliest childhood
till old age. Most frequently the male sex is afflicted during manhood.

In most cases tuberculosis also exists in other organs, especially in
the urinary and sexual apparatus. The existence of pulmonary or
intestinal tuberculosis is not essential.

The symptoms of renal tuberculosis are of such general and indefinite
character, that it is often impossible to fully determine the disease.
Now, however, it will be more easily possible on account of Koch's
discovery.

The _urine_ may, but need not contain pus and blood. Sometimes small
lumps are found in the urine.

_Pains_ are only sometimes felt in the renal regions; _fever_ may be
occasionally attendant.

The disease lasts for months and years; though before now it has
inevitably resulted in death, though it has in exceptional cases taken
ten years or more.

The internal treatment of renal tuberculosis was ineffectual, surgical
treatment has been attended with greater success. This consisted in
removing the diseased kidney. Now good results will possibly be attained
by the application of Koch's method to cure and resource to surgery will
be taken in exceptional cases only.

_Tuberculosis of the suprarenal capsules_ is of very rare occurrence. It
leads to a peculiar change in the color of the skin; the same turns dark
brown or bronze color. Sooner or later death results.

Perhaps the application of Koch's method will, besides curing the
disea