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Article
October 1938

PNEUMONIA COMPLICATED BY ACUTE PNEUMOCOCCIC HEMORRHAGIC ULCERATIVE GASTROENTERITIS (DIEULAFOY'S EROSION): REPORT OF TWO CASES

Author Affiliations

MEMPHIS, TENN.

From the Department of Medicine, University of Tennessee, College of Medicine, and of the John Gaston Hospital.

Arch Intern Med (Chic). 1938;62(4):597-603. doi:10.1001/archinte.1938.00180150053004
Abstract

The universal omission from standard American textbooks of mention of gastrointestinal ulcerations complicating pneumonia has prompted us to report 2 cases in which treatment was given to patients in the wards of the John Gaston Hospital. It has occurred to us that this complication may not be as rare as the sparsity of reported cases indicates. Search of the literature available to us reveals reports of only 9 cases, the great majority of these from the French literature.

This complication of pneumonia was first described by Dieulafoy,1 in 1899. He described 2 cases, the first occurring in a patient with lobar pneumonia in whom severe abdominal pain, hematemesis and melena developed. Autopsy revealed multiple acute ulcerations of the stomach, ranging from the size of a pinpoint to a diameter of 3 mm., most of them being grouped in the pyloric region. By a strange coincidence Dieulafoy had in one

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