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January 1967

Lobar Staphylococcal Pneumonia: An Unusual Variant

Author Affiliations

From the Children's Hospital Medical Center and the Department of Surgery, Harvard Medical School, Boston.

Arch Surg. 1967;94(1):146-148. doi:10.1001/archsurg.1967.01330070148029

THE OFTEN described roentgenographic features of staphylococcal pneumonia1-3 include a rapidly changing x-ray picture which may proceed from that of pneumonic infiltrate to one of large air-filled cavities within the space of a few hours.4 Rupture of these pneumatoceles may produce a tension pyopneumothorax. The initial infiltrate may be focal, segmental, or lobar in distribution or may involve one or both lungs in their entirety and has almost always been described as being patchy in appearance but not as a homogenous lobar consolidation resembling neoplastic change. The following patients presented to us with x-ray findings initially thought to represent neoplastic involvement of the upper lobe area.

Report of Cases 

Case 1 (59-42-46 [CHMC]).  —This patient was admitted to the Children's Hospital on June 25, 1965, at the age of 1¾ years for management of "a mass in the upper lobe of the left lung."The patient was well

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