Pulmonary abscess is said by Osler to be easy of recognition, but for my own part I have to confess that I have met with cases in which grave doubts existed in my own mind as to the question of differential diagnosis between abscess of the lung and encysted empyema. I have also met with cases in consultation in which the attending physician was in error touching the existence of any abscess at all. It is no doubt true that an abscess discharging through a bronchial tube may be recognized without much difficulty, but previous to this time I am quite certain it may be easily overlooked.
Pneumonia is now generally recognized to be an infectious inflammation of the lungs, due in the majority of cases to the influence of the diplococcus pneumoniæ of Fraenkel. The disease generally pursues a well-defined course marked by certain pathologic changes; once in about
FAIRCHILD DS. SURGICAL TREATMENT OF ABSCESS OF THE LUNGS. JAMA. 1899;XXXIII(14):811–813. doi:10.1001/jama.1899.92450660001001
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