Abstract

To the Editor:— In his article entitled Bloody Fluid Following Pulmonary Infarction (202: 947, 1967), Dr. Griner twice misquotes from an article by Dr. Harold Israel and myself (Ann Intern Med47:202, 1957). In his introduction he attributes to standard texts and reviews, including ours, the notion that a bloody or serosanguineous pleural effusion is anticipated following pulmonary infarction. In his comment he attributes to us the statement, Pleural effusion following infarction usually shows numerous red blood cells and is grossly bloody in half the cases, usually in those with congestive failure. He then takes issue with this statement and cites his findings of pleural effusion in only 43 of 88 cases studied, of which 14 revealed serosanguineous fluid. Actually, our own study of 90 cases revealed only seven instances of pleural effusion, as Dr. Griner should have noted from Table 6 of the quoted review. Our actual

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