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May 28, 1904


Author Affiliations

Professor of Medicine, University of Nebraska. OMAHA.

JAMA. 1904;XLII(22):1397-1399. doi:10.1001/jama.1904.92490670001001

Fourteen years ago I treated a young man with croupous pneumonia of severe though characteristic type. Crisis occurred on the seventh day, but the temperature did not reach the normal. Resolution did not become complete in the solidified area, the cough and expectoration increased, the fever gradually rose to 102, and there was persistence in the dull area with bronchial respiration and subcrepitant râles. He developed night sweats without chills. The expectoration was mucopurulent, occasionally tinged with blood, and in the presence of a family predisposition to tuberculosis, I felt convinced of a development in this direction. For two months there was scarcely any variation in the physical signs of consolidation; he became considerably emaciated, and I was at sea, because repeated microscopic examination failed to reveal the presence of tubercle bacilli in what appeared to be quite characteristic sputum. It then occured to me to explore the affected area with

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