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Article
December 1929

BRONCHOGENIC CONTAMINATION IN EMBOLIC ABSCESS OF THE LUNGS

Author Affiliations

NEW HAVEN, CONN.; CHICAGO
From Department of Surgery, University of Chicago.

Arch Surg. 1929;19(6):1262-1278. doi:10.1001/archsurg.1929.01150060324019
Abstract

The etiology of abscess of the lung, particularly that which occurs after surgical operations, has been subject to recent clinical and experimental investigation, and much of pertinent data has been revealed. In the interpretation of this, difference of opinion has arisen as to whether inoculation of the lung occurs by aspiration of infectious material from the mouth or by embolism from an infected surgical wound. In favor of each has been presented a mass of clinical facts, and it must be admitted that most of these facts can be used equally effectively on either side of the argument. Also, experimentally, it has been possible to reproduce abscess of the lung by either portal of inoculation in substantiation. The aspiration theory has, however, been adopted by the majority as the more plausible. A critical review of the situation readily demonstrates essential defects in both explanations when applied to the etiology of

References
1.
Cutler, E. C., and Hunt, A. M.:  Postoperative Pulmonary Complications ,  Arch. Int. Med. 29:449 ( (April) ) 1922.Crossref
2.
Mayo, W. J.:  Surg. Gynec. Obst. 32:97, 1921.
3.
Ochsner, A. J., and Schneider, C. C.:  Ann. Surg. 72:91, 1920.Crossref
4.
Hampton, H., and Wharton, L. R.:  Bull. Johns Hopkins Hosp. 31:95, 1920.
5.
Capelle:  Beitr. z. klin. Chir. 119:485, 1920.
6.
McCann, F. J.:  Brit. M. J. 1:277, 1918.Crossref
7.
Rupp, A.:  Arch. f. klin. Chir. 115:672, 1921.
8.
Lambert, A. V. S., and Miller, J. A.:  Abscess of Lung ,  Arch. Surg. 8:446, ( (Jan.) ) 1924.Crossref
9.
Smith, D. T.:  Am. Rev. Tuberc. 15:352, 1927.
10.
Daily, L., and Daily, R. K.:  Texas State J. Med. 23:277, 1927.
11.
Myerson, M. C.:  Laryngoscope 32:929, 1922Crossref
12.
34:63, 1924.
13.
Iglauer, S.:  Ann. Otol. Rhin. & Laryng. 37:231, 1928.
14.
Ochsner, A., and Nesbit, W.:  Arch. Otolaryng. 6:330, 1907.
15.
Corper, H. J.:  Pulmonary Aspiration of Particulate Matter, Normally and During Anesthesia ,  J. A. M. A. 78:1858 ( (June 17) ) 1922.
16.
Mullin, W. V., and Ryder, C. T.:  Am. Rev. Tuberc. 4:683, 1920.
17.
Corper, H. J., and Enright, J. J.:  Eye as Portal of Infection in Respiratory Disease ,  J. A. M. A. 74:521 ( (Feb. 21) ) 1920.
18.
Hoelscher, R.:  Arch. f. klin. Chir. 57:175, 1897.
19.
Lemon, W. S.:  Aspiration ,  Arch. Surg. 12:187 ( (Jan.) ) 1926.
20.
Singer, J. J.:  Bronchography: Injection of Iodized Oil ,  Arch. Surg. 14:167 ( (Jan.) ) 1927.
21.
Myerson (footnote 5, second reference).
22.
Moore, W. F.:  Pulmonary Abscess ,  J. A. M. A. 78:1279 ( (April) ) 1922.
23.
Graham, E. A.:  S. Clin. N. Amer. 2:1501, 1922.
24.
Myerson (footnote 5, first reference).
25.
Hedblom, C. A.; Joannides, M., and Rosenthal, S.:  Ann. Surg. 88:823, 1928.Crossref
26.
Allen, D. S.:  Etiology of Abscess of the Lung: Experimental and Clinical Studies ,  Arch. Surg. 16:179 ( (Jan.) ) 1928.Crossref
27.
Hoelscher (footnote 9, third reference).
28.
Mullin and Ryder (footnote 9, first reference).
29.
Archibald, E., and Brown, A. L.:  Am. Rev. Tuberc. 16:111, 1927.
30.
Cutler, E. C., and Hunt, A. M.:  Postoperative Pulmonary Complications ,  Arch. Surg. 1:114 ( (July) ) 1920.Crossref
31.
Cutler, E. C., and Schlueter, S. A.:  Ann. Surg. 84:256, 1926.Crossref
32.
Holman, E.; Weidlein, I. F., and Schlueter, S. A.:  Proc. Soc. Exper. Biol. & Med. 23:266, 1926.
33.
Hermann, L. G., and Cutler, E. C.:  Proc. Soc. Exper. Biol. & Med. 26:28, 1928.
34.
Aschner, P. W.:  Ann. Surg. 75:321, 1922.
35.
Schlueter, S. A., and Weidlein, I. F.:  Postoperative Lung Abscess: Experimental Study ,  Arch. Surg. 14:457 ( (Feb.) ) 1927.
36.
Allen (footnote 15, second reference).
37.
Smith, D. T.:  Am. Rev. Tuberc. 16:584, 1927.
38.
Hedblom; Joannides, and Rosenthal (footnote 15, first reference).
39.
Pilot, I.:  S. Clin. N. Amer. 9:1433, 1926.
40.
Pilot, I., and Davis, D. J.:  Studies in Fusiform Bacilli and Spirochetes: Their Rôle in Pulmonary Abscess, Gangrene and Bronchiectasis ,  Arch. Int. Med. 34:313 ( (Sept.) ) 1924.
41.
Pilot, I.; Davis, D. J., and Shapiro, I. J.:  Am. Rev. Tuberc. 8:249, 1923.
42.
Kline, B. S.:  Spirochetal Pulmonary Gangrene ,  J. A. M. A. 77:1874 ( (Dec. 10) ) 1921
43.
 J. Infect. Dis. 32:481, 1923.
44.
Smith (footnotes 3 and 25).
45.
Van Allen, C. M.; Adams, W. E., and Hrdina, L. S.: Embolism in Bronchogenic Infection of the Lung, p. 1279 of this issue.
46.
Van Allen, C. M.: Adams, W. E., and Hrdina, L. S., ready for publication.
47.
Graham, E. A., in discussion on Lemon, W. S.:  Aspiration ,  Arch. Surg. 12:187 ( (Jan.) ) 1926.
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