Abstract
A case of h˦matogenous dissemination of tuberculosis from a primary complex occurring in an adult is described. Attention is particularly drawn to the glandular component of the complex, which in this case was of considerable size and gave rise to important clinical symptoms. The sudden onset of an attack of acute respiratory distress is recorded. This was due to bronchial obstruction caused by a caseous hilar gland which penetrated the right main steam bronchus. Attention is drawn to the place of bronchoscopy in such an attack. The type of pain which occurred is described and its possible causation and localisation are discussed.
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