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Streptococcal Pneumonia: Recent Outbreaks in Military Recruit Populations. A Clinical and Epidemiologic Review.

James L. Basiliere; Herbert W. Bistrong; and William F. Spence
Ann Intern Med. 1967;66(5):1045. doi:10.7326/0003-4819-66-5-1045_2
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The clinical and epidemiological features of an epidemic of streptococcal pneumonia (95 cases) are presented. This type of pneumonia is characterized by rather sudden onset of severe symptoms, the most striking of which is chest pain. The clinical course is remarkable in the low prevalence of positive blood cultures and the high frequency of empyema.

Therapy consisted of the early vigorous use of antibiotics and the early adequate drainage of the pleural space. Complications other than empyema were few and consisted of pericarditis, pyopneumothorax, toxic psychosis, and lung abscess. Long-term complications included bronchiectasis and pleural thickening. The pleural thickening was


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