Case of Pneumonia Following Gun-Shot Wound of the Chest

J. S. Lombard
1863 Boston Medical and Surgical Journal  
A private of the 134th Reg't Pa. Vols., 33t. 25, of medium hoight, and possessed of a remarkably muscular frame and vigorous constitution, was admitted into tho Hammond General Hospital, Point Lookout, on the 16th of December, 1862, with a gun-shot wound of the left side and breast. The wound was received at the battle of Fredcricksburg, on the 13th, and was caused by a round ball, which entered the loft side just below the axilla, about over tho fifth rib, which it injured slightly, and then
more » ... lightly, and then passing upwards and inwards lodged superficially a little below the left clavicle, and about two inches from its sternal extremity, from which place it was extractod soon after the receipt of the wound. At the time of tho patient's admission into the Hammond General Hospital, his general condition was highly favorable, his health having boon excellent ever since enlisting. He made light of his wound, which was doing well, and appeared to cause him little or no trouble. The position of the wound being such as to render injury of tho lung probable, a careful examination of tho chest was made, and the patient closely questioned ; but both the physical examination and the interrogation of tho patient failed to elicit any evidence of lesion of the lung. Tho respiration was perfectly normal over the whole of the chest, and according to the statements of the patient there had been no haemoptysis, dyspnoea, or other signs of injury of the lungs, either at the time of receiving the wound or since. Nothing of interest occurred in the progress of the case until Dec. 18th (two days after admission into the Hospital), on the aftornoon of which day the patient had a severe chill, which lasted about two hours, and was then succeeded by fever, which lasted several hours more. On the following morning the patient appeared about as well as usual, but in the afternoon he suffered another attack of chill and fever. Quinine had been administered in the meantime, and after the last-mentioned attack he
doi:10.1056/nejm186307160682401 fatcat:wiar6gymgfghpnagru3pdledda