SULFANILAMIDE THERAPY FOR SUPPURATIVE PYLEPHLEBITIS AND LIVER ABSCESSES
- 8 October 1938
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 111 (15) , 1374-1375
- https://doi.org/10.1001/jama.1938.72790410002010a
Abstract
Suppurative pylephlebitis with multiple liver abscesses is an extremely grave disease. It most commonly follows acute appendicitis but also may complicate a great variety of intra-abdominal and rectal infections. The diagnosis may be difficult, and in many more cases the disease is recognized on the postmortem table rather than during life. The incidence of the condition has been appreciably smaller in recent times, owing to earlier operative intervention for acute appendicitis. In the older statistics necropsy reports of patients dead of acute appendicitis revealed pylephlebitis and liver abscesses in 4.7 per cent (Fitz),15 per cent (Armstrong)2and 5 per cent (Petren).3More recent analyses showed 0.4 per cent (Gatch and Durman)4and 0.3 per cent (Hawkes).5Colp,6in analyzing 2,841 cases of acute appendicitis, noted an incidence of 6.8 per cent of preoperative chills; in only a small fraction of these cases didKeywords
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