FRIEDLÄNDER PNEUMONIA TREATED WITH STREPTOMYCIN; REPORT OF A CASE WITH PROMPT RECOVERY

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Abstract
A soldier developed acute Fried-lander pneumonia one week after a plastic surgical procedure on the right hand. Bacilli of the "mucosus encapsulatus group" had been isolated from the hand wounds 10 months previously. The organism isolated from the characteristic bloody mucoid sputum was Klebsiella pneumoniae, type A. There was no satisfactory response to penicillin therapy. Streptomycin, 200,000 U., was administered intramusc. every 3 hrs. for 10 days. Blood levels were obtained which exceeded the necessary levels detd. by in vitro sensitivity studies with the causative organism. Sputum culture became negative after 2 days, and the patient made an uneventful recovery.

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