The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Recurrent Pneumonia: Predisposing Illness and Clinical Patterns in 158 Patients

Ann Intern Med. 1969;70(4):689-700. doi:10.7326/0003-4819-70-4-689
Text Size: A A A

Review of 158 patients with recurrent pneumonia seen over an 11-year period showed 1 or more major associated diseases in 147. Diseases with extrathoracic manifestations were associated with recurrent pneumonia as commonly as primary thoracic diseases, with alcoholism, chronic obstructive airway disease, congestive heart failure, diabetes mellitus, and bronchiectasis being the commonest associated illnesses. Such time-honored causes of recurrent pneumonia as bronchogenic carcinoma, multiple myeloma, and hypogammaglobulinemia were diagnosed very infrequently. The associated illness clearly antedated the recurrent pneumonias in virtually all cases, and 74.5% of these were readily recognized through history or physical examination.

The pattern of recurrent pneumonia, including location of recurrence, number of recurrences, and organisms responsible for infection, were essentially identical for the various specific associated illnesses. The only exception to this was a higher frequency of recurrent pneumonia in the same area in patients with localized intrathoracic disease. Despite the strong association with severe, chronic, underlying illness, recurrent pneumonia had a low case fatality rate.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.