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Case Reports
May 1935

PRIMARY STAPHYLOCOCCIC PNEUMONIA: COMPLICATED BY EMPYEMA, SEPTICEMIA, MULTIPLE ABSCESSES AND OSTEOMYELITIS OF THE SKULL AND SECOND METACARPAL BONE OF THE RIGHT HAND, WITH RECOVERY

Author Affiliations

ATLANTA, GA.

Am J Dis Child. 1935;49(5):1276-1281. doi:10.1001/archpedi.1935.01970050174019
Abstract

Owing to the anatomic structure of the lung it is difficult to state that pneumonia is caused by a single organism. The anatomic diagnosis of pneumonia is usually not difficult, but at times the etiologic diagnosis presents difficulties. Reimann stated:1 "It is of no great moment from the standpoint of specific prophylaxis, therapy or prognosis whether the lesion in pneumonia is in the alveoli or in the interstitial tissue, but it is of great importance whether the infection is due to the pneumococcus, type 1, or the staphylococcus. In other words, etiologic diagnoses must eventually supplant anatomic diagnoses."

The case reported here conforms to the clinical picture of staphylococcic pneumonia, and staphylococci were obtained (1) from the blood stream, (2) from pus withdrawn from the pleural cavity, (3) from pus aspirated from the soft tissues of the hand and scalp and (4) from material obtained by open drainage of

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