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Transactions of the College of Physicians of Philadelphia (1913)
Transactions of the College of Physicians of Philadelphia - 1913 Author:College of Physicians of Philadelphia Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: A LOBAR FORM OF BRONCHOPNEUMONIA OF LONG DURATION, OCCURRING IN CHILDREN AND YOUNG ADULTS1 By DAVID RIESMAN, M.D. For some time, possibly four or fiv... more »e years, I have been interested in a disease of the lungs which cannot be readily classified nor easily named. Case I.—The first case I saw was in a young girl, who came to the dispensary of the Polyclinic Hospital and puzzled my colleagues and myself by a long-continued, low fever. Week after week on her visits to the clinic we noted a moderate elevation of temperature, and as she had a cough, was pale and of poor physique, tuberculosis was naturally suspected. But aside from failure to find any bacilli in the sputum, the physical signs—an abundance of crackling rales—were strictly limited to one lower lobe, there being no involvement of the apices. The history did not suggest an unresolving lobar pneumonia, and the child, so far as I can recall—the record is now lost—was not confined to bed at any time. After a most protracted course, covering possibly two or three months, the girl recovered completely. Case II.—On September 12, 1911, I saw in my office Pearl L., a girl, aged thirteen years, who had been coughing for two weeks. At the age of two years she had whooping cough, otherwise she had been well. Although she did not appear to be very ill, I found impairment of resonance over the entire left lower lobe and sharply limited to it. The breath sounds were harsh and of a bronchovesicular character. There were also numerous crackling rales. The right side as well as the upper lobe of the left lung was entirely normal. Temperature, 99.5; pulse, 120. Four days later the signs were more marked, the involvement extending from the base of the left lobe to a little above the middle of the left scapula,and from the spina...« less