We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

Current Comment

JAMA. 1938;110(26):2158-2159. doi:10.1001/jama.1938.02790260032015.
Text Size: A A A
Published online

PNEUMOCOCCUS POLYSACCHARIDE IN URINE  Urinary excretion of the specific capsular substances formed by pneumococci is of little or no diagnostic value, owing to the inconstant excretion of this substance during the early stages of lobar pneumonia. Cruickshank1 of the University and Royal Infirmary, Glasgow, Scotland, however, believes that detection of the type-specific polysaccharide in the urine is a valuable prognostic index, the mortality among patients with "pneumococcosuria" being twenty times greater than that of pneumonia patients whose urine remains free from this polysaccharide during the course of the disease. Cruickshank's conclusions were drawn from his study of about 200 patients with pneumococcic infections, 184 of whom were suffering from lobar pneumonia. Type polysaccharides were estimated quantitatively in the urines of these patients by means of high titer type-specific antiserums. The serum used in most of his tests was capable of detecting homologous pneumococcus polysaccharide in dilutions as high as


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.