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 order to obtain insight into the pathogenesis of these lesions, it is
desirable to imitate the historical development of knowledge concerning
the characters and causes of disease, namely, first to define accurately
the lesions concerned and later to determine with what microorganisms
these lesions are associated. The difficulties of this undertaking are
increased by the multiplicity of the microorganisms concerned and by the
well-known truth that the same microorganism, _e. g._, the tubercle
bacillus, may produce widely different anatomic lesions.
In the table of autopsies the following lesions are listed:
=Column 7. Purulent bronchitis.=—“P” indicates that the small
bronchi contain mucopurulent fluid.
=Column 8. Lobar pneumonia.=—The occurrence of the lesion is
indicated by the plus sign (+).
=Column 9. Peribronchiolar consolidation.=—The presence of nodular
patches of consolidation about respiratory bronchioles is indicated
by the plus sign (+) when the lesion has been recognized at the time
of autopsy. When the lesion has been first recognized by microscopic
examination the letter “M” is used.
=Column 10. Hemorrhagic peribronchiolar consolidation.=—The
occurrence of this lesion which represents the preceding on a
background of hemorrhage is indicated by the plus sign (+).
=Column 11. Lobular consolidation.=—The presence of the lesion is
indicated by the plus sign (+).
=Column 12. Peribronchial consolidation.=—Peribronchial pneumonia
recognized at the time of autopsy is indicated by the plus sign (+).
Peribronchial pneumonia recognized microscopically is indicated by
“M.” The presence of peribronchial hemorrhage without consolidation
is indicated by “h.”
=Column 13. Abscess formation with pneumonia.=—Suppuration with
abscess formation almost invariably just below the pleura is
indicated by the plus sign (+). Necrosis of lung tissue recognized
microscopically and unaccompanied by suppuration is indicated by
“N.”
=Column 14. Suppurative interstitial pneumonia.=—This lesion
invariably associated with suppurative lymphangitis is indicated by
the plus sign (+).
=Column 15. Multiple abscess in clusters.=—Abscesses in clusters
about a bronchus of medium size are indicated by the plus sign (+).
=Column 16. Empyema.=—The presence of the lesion is indicated by
“E.”
=Column 17. Bronchiectasis.=—“B” indicates the lesion.
=Column 18. Unresolved bronchopneumonia.=—Presence of the lesion is
indicated by the plus sign (+).
=Column 19. Organizing bronchitis and bronchiolitis.=—“O” indicates
the lesion.
The lesions of columns 7 to 12 are acute inflammatory processes, columns
9 to 12 represent different types of bronchopneumonia. Columns 13 to 15
represent suppurative lesions. Columns 17 to 19 represent chronic
lesions. A survey of the table shows the predominance of acute lesions
in the early period of the study and the gradual increase of chronic
lesions.
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