Early Onset Pneumonia Following Pulmonary Contusion: The Case of Stonewall Jackson

Author: Lively, Mathew W.

Source: Military Medicine, Volume 177, Number 3, March 2012 , pp. 315-317(3)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

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Abstract:

ABSTRACT

Confederate Lieutenant General Thomas J. “Stonewall“ Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation of his left arm, Jackson developed pneumonia in his right lung. His treating physicians believed the infection developed secondary to a pulmonary contusion that occurred when he fell from the litter. Pulmonary contusions are an independent risk factor in the development of post-traumatic pneumonia and an infection that occurs within 72 to 96 hours of injury is termed an early onset pneumonia. The nature and timing of Stonewall Jackson's illness following his wounding is consistent with the modern diagnosis of early onset pneumonia following chest trauma.

Document Type: Research article

Publication date: 2012-03-01

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Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.

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