There are few reports in the literature of the coexistence of bilateral pleurisy with effusion. In fact, it is one of the rarest complications in pulmonary tuberculosis. Stivelman1 reported a close search of the literature, and could find but two cases, one reported by Als2 and one by Fishberg,3 the latter being the first one in the English language. Zemmin4 reported one in 1921, which, with Stivelman's case, brings the number up to four. Two have occurred in my practice during the administration of artificial pneumothorax:
Case 1.
—One of these came under my observation while I was associated with the late Dr. A. G. Shortle at the Albuquerque Sanatorium, six years ago. The records of this case were accidentally destroyed by fire, but I remember the essential details. The patient was started on pneumothorax treatment at Colorado Springs, fluid developing on the treated side before