An Evaluation of Twenty-Two Patients With Acute and Chronic Pulmonary Infection With Friedländer's Bacillus

Article1 June 1956AN EVALUATION OF TWENTY-TWO PATIENTS WITH ACUTE AND CHRONIC PULMONARY INFECTION WITH FRIEDLÄNDER'S BACILLUSBENJAMIN M. LIMSON, M.D., MONROE J. ROMANSKY, M.D., F.A.C.P., JAMES G. SHEA, M.D.BENJAMIN M. LIMSON, M.D.Search for more papers by this author, MONROE J. ROMANSKY, M.D., F.A.C.P.Search for more papers by this author, JAMES G. SHEA, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-6-1070 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe typical pulmonary lesion produced by Friedländer's bacillus, orKlebsiella pneumoniae, is a fulminating lobar pneumonia particularly noted for its high mortality rate. Although the prognosis has been altered appreciably since the use of streptomycin1or, more recently, chlortetracycline, oxytetracycline or chloramphenicol,2the disease continues to present many difficulties in management. Attention has also been focused on the more benign and chronic forms of respiratory infection with Friedländer's bacillus.3, 4The pulmonary diseases caused by this microörganism have been classified as follows: (1) acute primary Friedländer's pneumonias; (2) acute mixed infections or secondary infections, and (3) chronic respiratory infections.5In...Bibliography1. NataroShapiroGordon MDAT: Acute primary Klebsiella pneumonia, J. A. M. A. 144: 12-16, 1950. CrossrefMedlineGoogle Scholar2. Kirby WM: Antibiotic therapy of Friedländer pneumonia, Am. J. Med. 11: 179-187, 1951. CrossrefMedlineGoogle Scholar3. Solomon S: Chronic Friedländer's infection of the lungs, J. A. M. A. 115: 1527, 1940. CrossrefGoogle Scholar4. FultonMcKinlay JKBC: Role of the Friedländer's bacillus in chronic respiratory disease, Ann. Int. Med. 40: 245-248, 1954. LinkGoogle Scholar5. Gill RJ: Treatment of Friedländer's pneumonia, Am. J. M. Sc. 221: 5-9, 1951. CrossrefMedlineGoogle Scholar6. RitvoMartin MF: The clinical and roentgen manifestations of pneumonia due to Bacillus mucosus capsulatus (primary Friedländer pneumonia), Am. J. Roentgenol. 62: 211-222, 1949. Google Scholar7. RomanskyNasouDavisRitts MJJPDSRE: The treatment of 171 patients with erythromycin including 132 with bacterial pneumonia, in press, Third Antibiotics Annual, 1955-1956. Google Scholar8. Solomon S: Primary Friedländer pneumonia: report of 32 cases, J. A. M. A. 108: 937, 1937. CrossrefGoogle Scholar9. BullowaChessFriedman JGJNB: Pneumonia due to B. Friedländeri: report on 41 patients, Arch. Int. Med. 60: 735, 1937. CrossrefGoogle Scholar10. HydeHyde LB: Primary Friedländer pneumonia, Am. J. M. Sc. 205: 660, 1943. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.*Received for publication January 30, 1956.From the Department of Medicine, George Washington University School of Medicine, and the George Washington University and Georgetown University Medical Divisions of the District of Columbia General Hospital, Washington, D. C.This article appeared in Antibiotics Annual 1955-56 and was titled "Acute and Chronic Pulmonary Infection with the Friedlander Bacillus: A Persistent Problem in Early Diagnosis and Therapy." 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DALY, M.D., ROY H. BEHNKE, M.D., F.A.C.P.A Report of a Case of Klebsiella Pneumoniae Arthritis and a Review of Extrapulmonary Klebsiella InfectionsRICHARD G. WEBER, M.D., BURNESS F. ANSELL JR., M.D.Lung Abscess—A Review of Forty-one CasesIRVIN F. RUMBAUGH, M.D., JOHN A. PRIOR, M.D., F.A.C.P. 1 June 1956Volume 44, Issue 6Page: 1070-1081KeywordsAlcoholsBacillusHospital medicineInfectious diseasesKlebsiella pneumoniaeLesionsPneumoniaPulmonary diseasesThoraxUpper respiratory tract infections ePublished: 1 December 2008 Issue Published: 1 June 1956 PDF downloadLoading ...