0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Incomplete Consolidation in Pneumococcal Lobar Pneumonia Complicating Pulmonary Emphysema

MORTON M. ZISKIND, M.D., F.A.C.P.; MARVIN I. SCHWARZ, M.D.; RONALD B. GEORGE, M.D., F.A.C.P.; HANS WEILL, M.D., F.A.C.P.; JAY M. SHAMES, M.D.; STEPHEN J. HERBERT, M.D.; and HERBERT ICHINOSE, M.D.
[+] Article and Author Information

Supported in part by grant T12 HE 05829-02, National Institutes of Health, Bethesda, Md.

▸Requests for reprints should be addressed to Morton M. Ziskind, M.D., 1430 Tulane Ave., New Orleans, La. 70112


New Orleans, Louisiana


Ann Intern Med. 1970;72(6):835-839. doi:10.7326/0003-4819-72-6-835
Text Size: A A A

Chest roentgenograms and hospital records of 104 patients with pneumonia whose admission blood cultures were positive for pneumococci were reviewed. Clinical characteristics, laboratory and chest roentgenographic findings, and response to treatment were noted. Two basic patterns of consolidation were encountered. In patients under age 40 all but one had classical homogeneous consolidation. Among patients over age 40, 6 of 22 men and 15 of 16 women had chest X-ray films that also showed typical consolidation. In the remaining 16 men and 1 woman over age 40 and in one 37-year-old man the films showed a pattern of incomplete consolidation interrupted by air-filled spaces. In the one patient with the pattern of incomplete consolidation who died, pathologic examination demonstrated foci of emphysema with surrounding pneumonia. Other diseases such as suppurative bronchopneumonia and tuberculosis may produce incomplete consolidations that require differentiation from pneumococcal lobar pneumonia superimposed on pulmonary emphysema.

Figures

Tables

References

Letters

NOTE:
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).

Comments

Submit a Comment
Submit a Comment

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.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)