Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles — John Shaqi
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measlesOpie, Eugene L. (Eugene Lindsay)
History
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles
In undertaking a study of the bacteriology of influenza, it seemed
essential to bear in mind certain clinical features of the disease which
will be discussed in greater detail in a subsequent paper. It suffices
to say for our present purpose that it is felt that influenza in itself
should be regarded as a self-limited disease of short duration (two to
five days in most instances), the most prominent local manifestation of
which is a rapidly progressing attack upon the mucous membranes of the
respiratory tract. Among the cases observed during the epidemic at Camp
Pike uncomplicated influenza never proved fatal and death invariably was
associated with a complicating pneumonia. In a large majority of cases
pneumococci, S. hemolyticus, or less frequently other bacteria in
addition to B. influenzæ were associated with the pneumonia. It is felt,
therefore, that in any attempt to determine the primary cause of
influenza bacteriologic studies made during life in early uncomplicated
cases of the disease are of primary importance and that the bacteriology
of the sputum of patients with complicating pneumonia and the
bacteriology of autopsies can only properly be used as valuable
supplements to data so obtained.
Since cultures from the respiratory tract must often of necessity
contain many bacteria which play no part in the production of influenza,
it is essential to have a working knowledge of the bacteria that may be
encountered by the methods employed. It is also important that such
knowledge as may have been gained in interepidemic periods be amplified
by study of the bacterial flora present at various periods throughout
the course of an epidemic, both in normal individuals and in other
disease conditions. These points have been borne in mind throughout the
present study and such observations have formed an essential part of the
work.
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