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October 3, 1925


JAMA. 1925;85(14):1075-1076. doi:10.1001/jama.1925.02670140061022

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Clinical Types of Pulmonary Gangrene  At the recent congress of medicine in Nancy, Drs. Bezançon and De Jong presented an excellent paper on clinical types of pulmonary gangrene. They emphasized that the term "pulmonary gangrene" had become more comprehensive recently. At present the conception includes all fetid suppurations of the lung. Most commonly they are complications of bronchial dilatation; less frequently they are caused by septic pulmonary embolism, air-borne infection or tracheal deglutition of food or pus. Primary types follow general weakening or are without assignable cause. The authors distinguish three principal types: 1. An acute type (the embolic type); with genuine septicemia; signs of localization lacking or not discoverable till late. In this Rist emphasized the diagnostic significance of thoracic pain. 2. An acute type with signs of localization; genuine pneumonia, rapid spreading and cavitation. Here the onset may be sudden and the evolution rapid; in other cases the

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