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June 22, 1929, Vol 92, No. 25 >
ARTICLE | June 22, 1929

LOBAR PNEUMONIA COMPLICATED BY FATAL BLEEDING GASTRIC EROSIONS

Philip Rosenblum, M.D.; Benjamin M. Gasul, M.D.
JAMA. 1929;92(25):2097-2098. doi:10.1001/jama.1929.92700510001009.
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Gastric erosions complicating lobar pneumonia are uncommon, while gastric erosions resulting in severe fatal hemorrhages are rare. Abt's Pediatrics, Nelson's Loose Leaf Living Medicine, and Holt and Howland's, Griffith and Mitchell's, Finkelstein's and Feer's textbooks on pediatrics do not even mention this condition as a possible complication of lobar pneumonia. Tice1 writes as follows in regard to complications of lobar pneumonia: "Pneumococcus gastritis, gastric and duodenal ulceration rarely occur. Intestinal hemorrhages as a result of ulcerative lesions in the bowel have been described." Osler2 writes:

"Dieulafoy has described under the name of ulcerative and hemorrhagic pneumococcic gastritis a condition which may be productive of even fatal hemorrhage. It is accompanied by nausea, vomiting and pain and may terminate in peritonitis. Dieulafoy suggests that in the event of the patient's recovery such erosions may develop into the so-called

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