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ARTICLE |

Pulmonary Medicine FREE

William R. Barclay, MD
JAMA. 1979;241(13):1387-1388. doi:10.1001/jama.1979.03290390065043
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In recent years advances in the field of pulmonary medicine have resulted either from more sophisticated techniques to measure pulmonary function or from the use of fiberoptics combined with radiology to visualize better and to perform selectively biopsies of lung tissue. These techniques have increased diagnostic accuracy and have led to clearer perceptions of the relationship between lung structure and function. However, in 1978 infectious disease problems commanded the attention of pulmonologists and resulted in the description of a newly recognized entity, Legionnaires' disease,1 and the marketing of a vaccine against a disease long recognized, pneumococcal pneumonia.2

Legionnaires' Disease  Legionnaires' disease, in which the primary organ of attack is the lung, was at first of uncertain origin. Several theories were proposed, including a bacterial infection, a virus infection, an allergic reaction, and a toxin,3 as possible causes. Finally McDade et al4 isolated the causative organism by

REFERENCES

Fraser DW, Tsai TR, Orenstein W, et al:  Legionnaires' disease: Description of an epidemic of pneumonia . N Engl J Med 297:1189-1203, 1977;.
 Pneumococcal vaccine . Med Lett Drugs Ther 20:13-14, 1978;.
Chen JR, Francisco RB, Miller TE:  Legionnaires' disease: Nickel levels . Science 196:906-908, 1977;.
McDade JE, Sheppard CC, Fraser DN, et al:  Legionnaires' disease: Isolation of a bacterium . N Engl J Med 297:1218-1220, 1977;.
Katz SM, Nash P:  The morphology of the Legionnaires' disease organism . Am J Pathol 90:701-722, 1978;.
 Isolater of organisms resembling Legionnaires' disease bacterium from sources . Morbidity Mortality Weekly Rep 27:283-285, 1978;.
 Isolation of organisms resembling Legionnaires' disease bacterium . Morbidity Mortality Weekly Rep 27:415-416, 1978;.
Glick TH, Gregg MB, Berman B, et al:  Pontiac fever: An epidemic of unknown etiology in a health department . Am J Epidemiol 107:149-160, 1978;.
Blackman JA, Hicklin MD, Chandler FW:  Legionnaires' disease . Arch Pathol Lab Med 102:337-343, 1978;.
Austrian R:  Prevention of pneumococcal infection by immunization with capsular polysaccharides of Streptococcus pneumoniae . J Infect Dis 136( (suppl 1) ):38-42, 1977;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Fraser DW, Tsai TR, Orenstein W, et al:  Legionnaires' disease: Description of an epidemic of pneumonia . N Engl J Med 297:1189-1203, 1977;.
 Pneumococcal vaccine . Med Lett Drugs Ther 20:13-14, 1978;.
Chen JR, Francisco RB, Miller TE:  Legionnaires' disease: Nickel levels . Science 196:906-908, 1977;.
McDade JE, Sheppard CC, Fraser DN, et al:  Legionnaires' disease: Isolation of a bacterium . N Engl J Med 297:1218-1220, 1977;.
Katz SM, Nash P:  The morphology of the Legionnaires' disease organism . Am J Pathol 90:701-722, 1978;.
 Isolater of organisms resembling Legionnaires' disease bacterium from sources . Morbidity Mortality Weekly Rep 27:283-285, 1978;.
 Isolation of organisms resembling Legionnaires' disease bacterium . Morbidity Mortality Weekly Rep 27:415-416, 1978;.
Glick TH, Gregg MB, Berman B, et al:  Pontiac fever: An epidemic of unknown etiology in a health department . Am J Epidemiol 107:149-160, 1978;.
Blackman JA, Hicklin MD, Chandler FW:  Legionnaires' disease . Arch Pathol Lab Med 102:337-343, 1978;.
Austrian R:  Prevention of pneumococcal infection by immunization with capsular polysaccharides of Streptococcus pneumoniae . J Infect Dis 136( (suppl 1) ):38-42, 1977;.
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