Lung Abscess Associated with Thrombosis of Veins of Neck and Arm

Case history.?A Hindu male, aged 35 years, was admitted into Krishnarajendra Hospital on 10th September, 1942. His complaint was that he was suffering for the past six months from cough, pain in the chest, irregular attacks of fever, foetid expectoration and progressive emaciation. For the past fortnight the right upper extremity had progressively increased in size. Of late he was feeling breathless even while at rest and was unable to lie down. He had lost all appetite, was not getting any sleep and for a few days past was having diarrhoea. Clinical findings.?The patient is very much emaciated and anaemic. He is dyspnoeic. Tongue is dry and furred, skin dry, expression anxious. Pulse is rapid and thready. The right upper extremity is cedematous throughout its entire length (figure 1).