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July, 1947 STREPTOMYCIN IN TULAREMIA—DRAPER 395 present consideration, shows no primary lesion and no Iymphadenopathy(3M). Only the general symptoms listed above, and the additional grave signs of prostration, delirium, stupor, and coma may be observed. The agglutination test, never positive in the first week and sometimes negative in the third or even the fourth week(3b), offers little help in the early stages of the disease. Indeed, laboratory personnel who possessed agglutinins as a result of receiving Foshay serum showed a sharp drop in agglutination titer after acquiring the disease(ld). Pneumonia occurs with far greater frequency in the typhoidal type than in other types(2,8). More than a third (36.2 per cent) of all cases of tularemic pneumonia reported in the American literature^ were of the typhoidal type. A large number of cases of tularemic pneumonia, therefore, will show no diagnostic features. Roentgenographs signs are those of atypical pneumonia, sometimes with later consolidation of one or more lobes(2-5); Bihss and Berland(3) found that in typhoidal tularemia 4. Scott, J. W., and Macbeth, R. A. L.: Tularaemia, Canad. M. A. J. 55:564-o66 (Dec.) 1946. 5. Bihss, F. E. and Berland, H. I.: Roentgenological Manifestations of Pleuropulmonarv Involvement in Tularemia, Radiology 41:431-437 (Nov.) 1943. Fig. 5. Chest film taken June 28, showing an early spread of pneumonia from the right hilum. Fig. 6. Chest film taken July 1, showing maximal pneumonic involvement of the right middle and lower lobes. Fig. 7. Final film taken July 8, showing pronounced clearing except for a small area about the right hilum.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 397 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008-0407 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed81947medi_0407.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Issue Number | 7 |
Page Number | 397 |
Health Discipline | Medicine |
Full Text | July, 1947 STREPTOMYCIN IN TULAREMIA—DRAPER 395 present consideration, shows no primary lesion and no Iymphadenopathy(3M). Only the general symptoms listed above, and the additional grave signs of prostration, delirium, stupor, and coma may be observed. The agglutination test, never positive in the first week and sometimes negative in the third or even the fourth week(3b), offers little help in the early stages of the disease. Indeed, laboratory personnel who possessed agglutinins as a result of receiving Foshay serum showed a sharp drop in agglutination titer after acquiring the disease(ld). Pneumonia occurs with far greater frequency in the typhoidal type than in other types(2,8). More than a third (36.2 per cent) of all cases of tularemic pneumonia reported in the American literature^ were of the typhoidal type. A large number of cases of tularemic pneumonia, therefore, will show no diagnostic features. Roentgenographs signs are those of atypical pneumonia, sometimes with later consolidation of one or more lobes(2-5); Bihss and Berland(3) found that in typhoidal tularemia 4. Scott, J. W., and Macbeth, R. A. L.: Tularaemia, Canad. M. A. J. 55:564-o66 (Dec.) 1946. 5. Bihss, F. E. and Berland, H. I.: Roentgenological Manifestations of Pleuropulmonarv Involvement in Tularemia, Radiology 41:431-437 (Nov.) 1943. Fig. 5. Chest film taken June 28, showing an early spread of pneumonia from the right hilum. Fig. 6. Chest film taken July 1, showing maximal pneumonic involvement of the right middle and lower lobes. Fig. 7. Final film taken July 8, showing pronounced clearing except for a small area about the right hilum. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Article Title | Streptomycin In Tularemic Pneumonia |
Article Author | Arthur J. Draper |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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