It is probably too early to determine the exact value of bismuth-paste injections in the treatment of tuberculous sinuses, but the favorable reports of many cases treated with this paste in the last two years suggest that at last we have an agent that is really curative. Only a few years ago a patient with a psoas abscess or tuberculous sinus of the hip or sacro-iliac joint was usually doomed; but now such patients are being repeatedly cured by injections of bismuth paste after the method originated by Dr. Emil Beck of Chicago. The following case is interesting in that it shows the cure of a condition which heretofore was almost hopeless; also it shows the severe poisoning which may occur from the bismuth. The injections were used altogether over a period of eighteen months.
The patient, Mrs. F. B., American, in January, 1906, at the age of