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August 21, 1943


Author Affiliations


From the Department of Internal Medicine of the University of Cincinnati and the Cincinnati General Hospital.

JAMA. 1943;122(17):1177-1179. doi:10.1001/jama.1943.02840340025008

Our purpose in writing this paper is to present in summary the records of an unusual number of patients with pneumococcic pyarthrosis treated conservatively rather than by conventional surgical methods. The patients, 11 in number, were all seen in the Cincinnati General Hospital and studied in the pneumonia laboratory of the department of medicine.

INCIDENCE  Purulent arthritis is generally regarded as "a rare and grave complication of pneumonia."1 It was found by Fabyan2 in 1910 once among 195 cases of lobar pneumonia at autopsy. Bulkley3 in 1914 collected from the foreign and American literature records of incidence of about 0.1 per cent in pneumonia. Cecil4 at Bellevue Hospital recorded from 1926 to 1932 an incidence of 0.6 per cent among typed pneumonia cases. Schiff5 reported from the Cincinnati General Hospital an incidence of 0.5 per cent in the years 1924 to 1929 among 629 cases.