Historians and doctors have debated for decades what
medical complications
caused the death of legendary Confederate fighter Thomas J. "Stonewall"
Jackson, felled by friendly fire from his troops during the Civil War.
Shot three times while returning from scouting enemy lines in the
Virginia wilderness, Jackson was badly wounded in the left arm by one of
the large bullets the night of May 2, 1863. Blood gushed from a severed
artery. It took at least two hours to get him to a field hospital, and
Jackson was dropped twice in a stretcher before his arm was amputated.
He died days later at 39.
Scholars have long questioned whether it was an infection or
pneumonia
that killed Jackson, who gained the nickname "Stonewall" early in the
war and went on to be lionized in the South and feared in the North
because of his military exploits.
On Friday, the 150th anniversary of Jackson's death, a trauma surgeon with experience on the battlefield in
Iraq and Afghanistan
will reveal his diagnosis of Jackson's death after reinvestigating the
medical record. After reviewing the 1860s files and subsequent reports,
University of Maryland surgeon and professor
Joseph DuBose told The Associated Press that Jackson most likely died of pneumonia.
DuBose is confirming the original diagnosis given by Jackson's
personal physician, the famed Confederate doctor Hunter H. McGuire.
"You would be hard-pressed to find someone more qualified than him for the treatment of this injury and taking care of
Stonewall Jackson,"
DuBose
said. "I do defer to him in some regard. I kind of have to. He's not
only the treating physician; he's also the only source of information."
McGuire's original medical notes were lost when he was captured by
Union soldiers. He recreated them from memory three years later for the
Richmond Medical Journal.
Pneumonia was common in
the Civil War, becoming the third most fatal disease for soldiers.
Jackson is the subject of an annual conference Friday at the
University of Maryland School of Medicine in Baltimore that reviews
medical diagnoses of historical figures. In the past, researchers have
reviewed the deaths of Alexander the Great, Edgar Allan Poe and Abraham
Lincoln, among others.
DuBose is a graduate of the Virginia Military Institute, where
Jackson was a professor before the Civil War. A large statue of Jackson
stands near the campus barracks. So, his legacy and death were ingrained
in DuBose's experience as a cadet.
Jackson was shot by soldiers from the 18th North Carolina regiment in
a moment of confusion. He had led a surprise attack in the Battle of
Chancellorsville in
Virginia,
and the Confederates drove Union forces back about three miles. Civil
War historian James I. Robertson Jr. recounts that Jackson wasn't
satisfied and rode out at night to review the enemy's position. When he
rode back, he was shot by his own soldiers.
Then, being dropped during a frantic nighttime rescue may well have contributed to Jackson's death, DuBose found.
"If he had been dropped and had a pulmonary contusion, or bruise of
the lung, it creates an area of the lung that doesn't clear secretions
real well, and it can be a focus that pneumonia can start in," DuBose
said. "That's probably what happened in this particular instance."
DuBose, a U.S. Air Force veteran, said pulmonary embolism — a
blockage of the major blood vessel in the lung — still occurs in nearly 6
percent of combat casualties in Iraq and Afghanistan. It is even more
common among those who have amputations, as Jackson did.
Still, the debate will continue over Jackson's death.
Dr. Philip Mackowiak, an internist who organizes the conference each year, said he differs with DuBose on the
Jackson case.
He reviewed the records and said he believes a recurrent pulmonary
emboli destroyed Jackson's lung over time, leading to his death. The
medical records don't describe Jackson coughing, as one would expect
with pneumonia, Mackowiak said.
It's impossible to know for sure what killed Jackson. But DuBose said
modern medicine could have saved him. Jackson's doctor didn't have the
tools or knowledge to treat the complications after the shooting.
Robertson, a former Virginia Tech historian and professor who wrote
Jackson's biography, said he has been persuaded that sepsis, caused by
severe infection, killed Jackson, due to his chaotic rescue and
unsanitary conditions. He noted, though, doctors at the time agreed
Jackson had pneumonia.
"Unfortunately, medicine in the mid-19th century was still in the
dark ages," he said. "Obviously, I'm not overly concerned with how he
died. I'm terribly concerned that he died."
Jackson was a pivotal figure and perhaps the most esteemed soldier in
the war, Robertson said. He was known for secrecy and speed to
executive surprise flank attacks for Gen. Robert E. Lee's strategy.
"He was killed in what may be the high-water mark of the
Confederacy," Robertson said. "You can make a case that after
Chancellorsville, it's just a question of time for Lee."