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PNEUMONIA-SECONDARY TO BLOOD INFECTION; NOT LOCAL DISEASE 05R1-871

Dr. Rosenow demonstrates "That the pneumococcus [of lobar

pneumonia] is not only present, but present in large numbers in the

blood ..... In no instance could I demonstrate pneumococci in

leucocytes. ... Invasion of the blood in this present series ...

supports ... the view that pneumonia bay be the secondary

localization of a primary blood invasion and not a local disease."

PNEUMONIA INVOLVES ACID INTOXICATION 05R1-872

ACID INTOXICATION - PNEUMONIA 05R1-872

Dr. Rosenow shows that pneumococcus grown in pneumonic serum

produces a marked acid reaction, supporting the view that some of

the symptoms of pneumonia are due to an acid intoxication. Dr.

Rosenow notes that investigators have uniformly found a diminished

alkalinity of the blood late in pneumonia after powers of

resistance fail, and after death.

Dr. Rosenow indicates that in cooperation with Frank Billings,

"In the treatment of 7 cases of pneumonia by the administration of

large doses of alkalines, it was noted that the urine became

strongly alkaline in reaction and remained so until the time of

crisis. At this time, however, when the products of resolution

were being rapidly absorbed, the urine [either became acid or

neutral] in reaction for a period of time varying from 24 to 48

hours ... but with an increased dosage of alkali, in all cases the

urine subsequently became alkaline."

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