This report deals with nine cases of tuberculous lymphadenitis treated with trypsin in sesame oil and uninterrupted antituberculosis drugs. Follow-up periods varied from eight to 16 months, including histopathological evaluation of the results of treatment. Antituberculous drugs in tuberculous lymphadenitis have been in general disappointing. The natural course of tuberculous lymphadenitis with its alternating periods of quiescence and relapse make it difficult to evaluate those few cases that have met with apparently successful treatment. The disappointment is more deeply felt as other forms of primary tuberculous and fresh exudative lesions have responded so well to the drug now in use. We felt that any additional factor that will enhance the phagocytic power of the mononuclear cells1. 3, � and open up vascular channels to the site of the causative factor of the disease for the drugs in use may be helpful in overcoming the infection.2’ 6 With this in mind, pure crystalline trypsin in sesame oil,t each ml. containing 5 mg., was administered intramuscularly simultaneously with various antituberculous drugs. Methods: We selected only those cases where unequivocal evidence of tuberculous etiology was present and which under prolonged drug treatment did not improve or become progressively worse. In every case we had biopsy or culture for Koch’s bacillus before the start of treatment, where feasible during treatment, and in all cases at the end of treatment. Each case had x-ray films of the neck, chest, spine and appropriate bones. Routine blood studies, urine examinations, liver function tests, and ECG were performed at the start, during, and on termination of treatment. The cases were examined daily on the ward. Trypsin was administered intramuscularly in combination with one or more of the following: Rimifon, para-aminosalicylic acid and streptomycin.