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Article
April 5, 1941

PNEUMOCOCCIC PNEUMONIA COMPLICATING OPERATIONS AND TRAUMA: ANALYSIS OF TWO HUNDRED AND SEVENTY-NINE CASES OF POSTOPERATIVE AND NINETY-TWO OF POST-TRAUMATIC PNEUMONIA ASSOCIATED WITH TYPED PNEUMOCOCCI

Author Affiliations

BOSTON
From the Thorndike Memorial Laboratory, Second and Fourth Medical Services (Harvard), Boston City Hospital, and the Department of Medicine, Harvard Medical School.

JAMA. 1941;116(14):1497-1504. doi:10.1001/jama.1941.02820140009003
Abstract

The availability of highly potent specific remedies for the treatment of pneumonia has resulted in a sharp drop in mortality from this disease wherever such remedies have been used extensively. The greatest success has been attained in the "primary" pneumococcic lobar pneumonias, and almost all reports concerning specific treatment have dealt almost entirely with such cases. It seems worth while at this time to consider whether the same specific remedies might be effective when pneumonia occurs as a complication of other conditions in which it is frequently considered to be the immediate cause of death.

It is probably fair to say that pneumonia occurring after surgical operations or after serious trauma is usually considered by both surgeons and laymen to be an unfortunate complication which often results in fatalities when the treatment of the primary condition is otherwise successful. Some of the predisposing factors relating to the operation, notably anesthesia,

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