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October 8, 1927


JAMA. 1927;89(15):1253. doi:10.1001/jama.1927.02690150063020

Abscess of the lung, not an infrequent condition, is always serious. Although it may follow any operation or may be a complication of influenza or pneumonia, it occurs most frequently after tonsillectomy. While thousands of tonsillectomies are done without secondary lung abscess, Moore1 believes that it develops about once in from 2,500 to 3,000 cases. Much recent research has failed to establish conclusively the mechanism of the onset of this complication of both medical and surgical conditions. Schlueter and Weidlein2 separate lung abscess into two pathologic types. An abscess of one of these types is caused by infection introduced through the air passages and originates in them. The other type is parenchymatous, and is caused by bacteria transmitted by the blood stream. In the opinion of these investigators, postoperative lung abscess is of the second type and results from embolism. Cutler and Schlueter3 have done work leading