Abstract
The latest editions of medical textbooks make only passing references to the icterus accompanying many cases of lobar pneumonia. Cecil1 indicates that jaundice occurs in 5 to 10% of cases of lobar pneumonia and that the lighter form which is observed most frequently seems to have no significance while the deeper jaundice seen in other cases is associated with a toxic hepatitis and a grave prognosis. Musser2 describes the jaundice that is present in a small number of cases of lobar pneumonia as often existing in connection with an enlarged liver and a tender area in the region of the gall bladder. Meakins3 barely mentions jaundice as a result of metastatic lesions in the liver in lobar pneumonia. Emerson,4 in a footnote, suggests that this jaundice may be due to the absorption of alveolar exudate or to a slowing of the portal circulation.During the past year the authors observed 32 cases of lobar pneumonia in adult Negro patients admitted to the medical service of George W. Hubbard Hospital of Meharry Medi...
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