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May 5, 1900


JAMA. 1900;XXXIV(18):1138. doi:10.1001/jama.1900.02460180050017

While the bacillus of typhoid fever has been repeatedly isolated from the consolidated lung in typhoid fever, it has not been successfully demonstrated in the sputum during life, though sought for by competent men. It is therefore of interest to note that v. Stühlern1 was able to secure this organism as well as the micrococcus lanceolatus in pure culture from the sputum of a typhoid patient in whom consolidation of the lower left lobe developed on the tenth day of the disease. Bacteriologic examination of the blood gave negative results. In a second fatal case of pneumonia developing in the fourth week of the fever, cultures of typhoid bacilli, micrococcus lanceolatus, and staphylococcus were obtained from the sputum and from the fluid aspirated from the affected lung. In this case also the blood remained sterile, but the urine contained typhoid bacilli. Thrombosis of the femoral vein developed, and after