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
=Bacillus Influenzæ in Cases of Influenza.=—On October 10, 1918, at the
height of the epidemic at Camp Pike, search for B. influenzæ was made in
a group of 23 consecutive cases of uncomplicated influenza from one to
six days after the onset of the disease. From each individual
simultaneous cultures on blood agar plates were made (a) from the nose,
(b) from the throat, and (c) from the sputum, and the sputum from each
case was injected into the peritoneal cavity of a white mouse. A similar
study of 5 consecutive cases was made on November 19. The results are
presented in Table II.
By means of multiple cultures taken simultaneously from different
portions of the respiratory tract no difficulty was encountered in
demonstrating B. influenzæ in all these cases of uncomplicated
influenza. Not only was B. influenzæ found in all cases, but often in
very large numbers predominating over all other bacteria on at least one
of the plates from each patient, and in occasional instances occurring
in nearly pure culture. One culture made about two hours after onset of
the initial coryza is of interest. There was at the time a profuse
serous nasal discharge. One drop of this allowed to fall on the surface
of a blood agar plate gave a practically pure culture of B. influenzæ.
TABLE II
PRESENCE OF B. INFLUENZÆ IN 28 CASES OF INFLUENZA
═══════════╤═══════════╤═══════════╤═══════════╤═══════════╤═══════════
NO. │ DAY OF │ NOSE │ THROAT │ SPUTUM │ SPUTUM
│ DISEASE │ │ │ CULTURE │ PASSED
│ │ │ │ │ THROUGH
│ │ │ │ │ MOUSE
───────────┼───────────┼───────────┼───────────┼───────────┼───────────
1│ 1 │ + │ + │ + │ +
2│ 4 │ − │ + │ + │ +
3│ 5 │ − │ − │ + │ −
4│ 4 │ − │ − │ + │ +
5│ 3 │ − │ − │ + │ +
6│ 4 │ − │ + │ + │ c
7│ 2 │ − │ + │ − │ c
8│ 4 │ + │ + │ + │ −
9│ 5 │ − │ + │ + │ +
10│ 2 │ + │ − │ − │ −
11│ 2 │ − │ + │ c │ +
12│ 3 │ c │ + │ + │ +
13│ 3 │ − │ − │ − │ +
14│ 2 │ − │ − │ + │ +
15│ 3 │ c │ − │ − │ +
16│ 1 │ − │ + │ + │ +
17│ 3 │ − │ + │ − │ +
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