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Original article| Volume 45, ISSUE 4, P165-171, October 1951

Friedländer pneumonia

A report of eight cases treated by chemo-therapy
DOI:https://doi.org/10.1016/S0366-0869(51)80031-5
Friedländer pneumonia
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      Summary

      • 1.
        Eight cases of Friedländer pneumonia are described, 6 of which recovered.
      • 2.
        These 8 cases were all seen within a period of thirteen months (December 31, 1948, to January 31, 1950).
      • 3.
        Five of the 6 survivors were cured by streptomycin after penicillin treatment had failed.
      • 4.
        One patient, in whom the pneumo-bacillus was partially sensitive to penicillin, was cured by penicillin alone.
      • 5.
        The 2 patients who died both did so suddenly and unexpectedly, after several days of well-being and normal temperature had succeeded an apparent response to streptomycin.
      • 6.
        In 1 of the fatal cases a lung abscess was found at autopsy, in the right upper lobe; and in the other, an abscess in the right lower lobe was suspected clinically. No other lung abscess was diagnosed, clinically or radiologically.
      • 7.
        Of the 8 cases, the disease was confined to the lower lobes in 6, although multilobar infection occurred in 5.
      • 8.
        The leucocyte count was high in 4 cases, but in 2 of these evidence of suppuration was present.
      • 9.
        It is suggested that the sulphonamide treatment given by the home doctor may have slowed, or temporarily checked, the progress of the disease, thus accounting for the fact that 3 of the 8 patients were less seriously ill than those described in the literature.
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      References

        • Cecil R.L.
        7th edition. Textbook of Medicine. W.B. Saunders and Co., 1947: 338-340
        • Perlman E.
        • Bullowa J.G.M.
        Arch. intern. Med. 1941; 67: 907
        • Bhatnagar S.S.
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        Indian J. Med. Res. 1935; 23: 337
        • Felson B.
        • Rosenburg S.L.
        • Hamburger M.
        Radiology. 1949; 53: 559
        • Nataro M.
        • Shapiro D.
        • Gordon A.T.
        J. Amer. Med. Ass. 1950; 144: 12
        • Ritvo M.
        • Martin F.
        Amer. J. Roentgenol. 1949; 62: 211

      Article info

      Identification

      DOI: https://doi.org/10.1016/S0366-0869(51)80031-5

      Copyright

      © 1951 Published by Elsevier Inc.

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