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April 20, 1918


JAMA. 1918;70(16):1153-1156. doi:10.1001/jama.1918.26010160009007b

The material for the following study was derived from thirty-seven necropsies performed on the bodies of patients who died in the base hospital of Fort Sam Houston, Texas. They were selected as cases of pneumonia, but in three of them it proved that death had resulted from other causes. Nevertheless, the lungs in these patients, as well as those from several other miscellaneous cases in which the necropsies were performed by the resident staff, were studied.

The results are by no means easy to analyze, since there are many complications, many combinations of different infections, and many variations arising from differences in the stages of the disease at which the patient died. Briefly stated, however, it appears that two main types of bacterial infection are concerned. On the one hand, there are cases due to infection with one or another form of the pneumococcus; on the other hand, many cases

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