JAMA. 1902;XXXIX(20):1241-1245. doi:10.1001/jama.1902.52480460019001e.
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Croupous pneumonia is an affection of a dual nature: it is an acute specific fever, and at the same time an acute inflammatory diseaseof the lung. In formulating a rational treatment the dangers arising from each of these processes must be given due consideration. It is a well-established fact that the chief danger lies in the toxemia. The severity, of this toxemia is dependent on the virulence of the infection and on the degree of reaction in the individual attacked, but it bears no relation whatever to the extent of lung involved. Cardiac weakness also contributes largely to the mortality of croupous pneumonia. In some instances this appears to result mechanically from the impediment offered to the circulation by the consolidated lung; more often, however, it is simply one of the local manifestations of the systemic poisoning. Complications, for the most part unpreventable, are the immediate cause of death in


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