The diagnostic "simplicitism" that frequently characterizes the diagnosis of lung abscess by those physicians who satisfy themselves with the symptoms and data afforded by physical and clinical examination alone, without considering every means of clearing the complex and often obscure etiopathogenesis of this pulmonary condition by careful and systematic laboratory findings, is deplorable. This almost always leads to serious therapeutic errors and failure, and thereby adds to the feeling of discomfort which ordinarily accompanies the prognosis of that grave disease.
The progress made by medical study of this disease within the last twenty years, guided by laboratory findings and pathologic anatomy, shows clearly that nothing would be more detrimental to the establishing of an exact therapy of lung abscess than to stop with clinical diagnosis only and with the application of those therapeutic rules, based largely on empiricism, which continue to be the bone of contention between the physician and
SPANO RA. INFECTION WITH THE PLAUT-VINCENT'S FUSOSPIRILLAR ORGANISMS: REPORT OF CASES OF ACUTE LUNG ABSCESS CURED BY INTRAVENOUS INJECTIONS OF NEO-ARSPHENAMIN. Am J Dis Child. 1925;29(5):621–630. doi:10.1001/archpedi.1925.04120290042007
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