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Pneumonia Caused by Hemolytic Streptococcus
CAPT R. W. BURMEISTER, MC;
LT COL E. L. OVERHOLT, MC
Arch Intern Med. 1963;111(3):367-375.
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Despite a characteristic clinical picture, hemolytic streptococcal involvement of the lung rarely is considered in the differential diagnosis of pneumonia today. The availability of effective chemotherapeutic agents has led to a lack of awareness of the natural history. This report of 5 cases furnishes an opportunity to review the clinical picture, the pathogenesis, and the complications.
Report of Cases
CASE 1.—
A 19-year-old white male was hospitalized in March, 1955, and was too ill to give any history. Interrogation later revealed that for 2 weeks he had suffered from a "common cold." On the day before admission he suddenly developed shaking chills, fever, and severe right pleuritic pain. His previously dry cough became productive of thick, tenacious, yellow-green sputum.
He was an acutely ill, disoriented, cyanotic white male. The chest was splinted, not dull to percussion, with moist rales at the right base, axilla, and left base. He had a
. . . [Full Text PDF of this Article]
Author Affiliations
USA; USA
Presently Chief, Infectious Disease Service and Associate Director, Unit II Medical Service, St. Louis City Hospital, and Instructor in Medicine and Consultant in Infectious Disease, Department of Medicine, St. Louis University School of Medicine (Capt Burmeister); Presently Chief, General Medicine Service, Walter Reed General Hospital, Walter Reed Army Medical Center (Lt Col Overholt).; U.S. Army Medical Unit, Fort Detrick, Md., and Walter Reed General Hospital, Walter Reed Army Medical Center, Washington, D.C.
Footnotes
Received for publication June 2, 1962; accepted Nov. 1.
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