The occurrence of gastrointestinal hemorrhage in the course of pneumonia is not mentioned in the most recent American textbooks of medicine or treatises on pneumonia. However, according to the foreign literature (and it is here that the great majority of cases of such a condition are described) this condition is a fairly well known complication of pneumonia.
Aversa1 attributed the first observations of enterorrhagia in the course of pneumonia to Ponfick, Jaksch, Engel and Dittrich; later there was confirmation by Brinton and Berthold. Aversa reported these instances of the condition as having occurred prior to 1887 but did not list references.
Dieulafoy,2 in 1887, recorded 2 cases with pathologic reports. The first was one of lobar pneumonia during the course of which there occurred abdominal pain and hematemesis, followed by melena. Necropsy showed multiple acute ulcerations, from the size of a pinpoint to 3 mm. in diameter, located
McCRACKEN JP. ENTERORRHAGIA COMPLICATING LOBAR PNEUMONIAACUTE PNEUMOCOCCIC HEMORRHAGIC ULCERATIVE GASTROENTERITIS, WITH REPORT OF A CASE. Arch Intern Med (Chic). 1941;67(1):36–42. doi:10.1001/archinte.1941.00200010046003
Customize your JAMA Network experience by selecting one or more topics from the list below.