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Pulmonary Abscess and Pulmonary Gangrene. Clinical Course and Pathology.

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By Kline B. S.. , M.D., and Berger S. S.. , M.D. (Archives of Surgery. , January, 1929; , p. 481.).

Ann Intern Med. 1929;3(1):73. doi:10.7326/0003-4819-3-1-73
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The lesion in many cases of so-called typical abscess of the lung has been found to be gangrene. Instead of a grayish area of suppuration without appreciable odor, the lesion is ragged, brownish or greenish and penetratingly foul-smelling. The sputum in these cases is foul smelling, grayish brown or grayish green and contains characteristic oral spirochetes, fusiform bacilli and vibrios. In case of true abscess, on the other hand, it is whitish yellow, mucopurulent or purulent, without appreciable odor and contains pyogenic organisms, usually staphylococci. As patients with pulmonary gangrene do not respond well to the treatment for abscess but


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