Distinction is to be made between pneumonia with so-called typhoid symptoms, pneumonia due to mixed infection in the course of typhoid fever, and pneumonia due wholly or in part to the bacillus of typhoid fever. Strictly speaking, the term typhoid pneumonia perhaps should be limited to the last condition of which there are a few interesting instances on record, instances that bear scrutiny from the bacteriologic point of view. Typhoid bacilli have been isolated from pulmonary consolidations in typhoid fever a number of times after death, but writers, such as A. Fraenkel, are of the opinion that in most of these cases to the bacillus should be assigned only secondary importance in the etiology of the complicating pneumonia. In two cases of lobar pneumonia in typhoid fever, V. Stühlern1 isolated during life the typhoid bacillus from the sputum, which in both instances was markedly hemorrhagic. In one of the
TYPHOID PNEUMONIA. JAMA. 1901;XXXVII(20):1322. doi:10.1001/jama.1901.02470460036005
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