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August 8, 1925


Author Affiliations

Topeka, Kan.
From the Second (Cornell) Medical Division, Bellevue Hospital, New York.

JAMA. 1925;85(6):435-436. doi:10.1001/jama.1925.26710060001012

A. S., a man, aged 34, whose past general health has been good, was a liberal consumer of alcoholic beverages. Five days before admission to the hospital, following an alcoholic spree, he developed a chill, pain in the right chest, fever, and a cough productive of "black or brown" phlegm. These symptoms continued, and the bowels did not move in the four days prior to admission.

The patient was markedly dyspneic and acutely ill, with cyanotic face and extremities. The lips were dry, the tongue was coated, and the pharynx was congested. Over the right lower lobe, there were typical signs of consolidation. The size of the heart was normal, but the rhythm was irregular as a result of numerous extrasystoles. The abdomen was soft, and the liver and spleen were not felt.

During the twenty-two hours in which the patient was observed, the temperature ranged between 104 and 105