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Article
April 28, 1906

DOUBLE EMBOLIC GANGRENE OF THE LOWER EXTREMITIES AS A COMPLICATION OF PNEUMONIA.

Author Affiliations

LEWISTON, MONT.

JAMA. 1906;XLVI(17):1287. doi:10.1001/jama.1906.62510440041003c

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Abstract

Patient.  —A. J., aged 56, male, medium height, weight and figure.

History.  —The patient has always used alcoholic beverages in moderation. The present illness began Jan. 20, 1906. Twelve days previously, he developed what he thought to be a cold; he used domestic remedies, but was not careful to avoid needless exposure. This state of affairs lasted for ten days. On the eleventh day he sent word that he could not leave his bed and a physician was summoned.

Examination.  —Auscultation and the physical signs showed that there was pneumonia in the right lower lobe which was approaching resolution. The temperature was 103, pulse 160, and respiration 60. There was cyanosis and the lower extremities were cold.

Consultation.  —On the following day I was called in consultation. At that time there was mental apathy and moderate effort was necessary to rouse the patient who then showed mild delirium. The pupils

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