My object in this paper is to place on record a rather unusual case of chronic pulmonary tuberculosis in an adult, with metastatic involvement of most of the ribs, the left clavicle, the frontal bone and the thyroid cartilage. While tuberculous involvement of the bones and joints as a complication of pulmonary tuberculosis is not so uncommon as some writers assert, it is extremely unusual to find such widespread involvement of the bones, especially in an adult. A search of the recent literature available did not disclose any record of a similar case.
REPORT OF CASE
—J. H. C., a man, aged 28, a jeweler, admitted to the Rhode Island State Sanatorium, July 28, 1922, complained of slight cough and expectoration, moderate loss of weight and strength, and three painful swellings, one on the forehead, one in the lower part of the right midaxillary region, and one in the