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Treatment of Pulmonary Gangrene
Professor Arcangeli, of the University of Rome, presented recently, before the Accademia Lancisiana in Rome, a communication on pulmonary gangrene, in which he referred to the modern methods of treatment, the greater frequency of the disease in recent years, and the need of a prompt diagnosis, in which the radiologic examination is very useful. Neoarsphenamine has been found effective in the treatment, especially if the patient is syphilitic, or if spirilla are found in the sputum. Emetine is less effective. Good results are secured also from reduction of the fluid intake and intratracheal instillations of gomenol. An autovaccine prepared from the sputum may prove useful in protracted cases. Professor Arcangeli has usually obtained good results from therapeutic pneumothorax, in spite of possible dangers. He has had little experience with antigangangrene serum and has never employed oleothorax or phrenicotomy. Surgical intervention is often necessary in cases of
ITALY. JAMA. 1932;98(1):63-64. doi:10.1001/jama.1932.02730270067025