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January 16, 1937


JAMA. 1937;108(3):187-193. doi:10.1001/jama.1937.02780030025006

With the more general application of bacteriologic study in pneumonia, the presence of the streptococcus as a secondary invader is becoming increasingly recognized as of major importance. This is especially evident in cases in which there have been local pulmonary complications following the initial infection by the pneumococcus.

There is another group of cases, however, in which bacteriologic investigation has been of even greater value in elucidating the clinical picture; namely, those showing systemic blood invasion by the streptococcus in the course of pneumococcic pneumonia. Judging from the reports in the literature, the number of recorded cases in which this occurs is apparently few. A recent report by Parsons and Myers1 presents three cases. Cole2 reports two cases. Johnston and Morgan3 and Lyon4 each report a single case.

Our purpose in this report is to add eight cases to those already described. We do not propose