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(Chest. 1963;43:176-185.)
© 1963 American College of Chest Physicians

The Medical and Surgical Treatment of Staphylococcal Pneumonia

Manard E. Pont M.D.1 and William C. Rountree F.C.C.P.2

1 Division of Neurologic Surgery, Stanford University Medical Center (Palo Alto)
2 San Francisco, California

1. Staphylococcal pneumonia may be manifested in one of two characteristic fashions, the "juvenile" and the "adult" forms.

2. Nineteen cases, including both children and young adults, were seen among U. S. Air Force personnel and their dependents at the Tachikawa Air Force Base, Japan, during an 18-month period.

3. The diagnosis is based, first, on recovery of the Staphylococcus aureus organism and, second, on the characteristic roentgenographic picture.

4. The roentgenographic picture is a slowly changing one, in contrast to the rapid changes in the course of the clinical picture.

5. Medical treatment rests on the selection of chemotherapeutic agents on the basis of the in vitro sensitivity of the organism.

6. Surgical treatment includes drainage of pleural effusion by continuous suction, reduction of pneumothorax, and — only rarely—decortication for adhesive limitation of respiratory function.






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