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
This change may occur within six days after onset of influenza, though
in most instances the duration of illness has been two weeks or more. It
may affect either large or small bronchi, but it is more frequently
found in the latter. Whenever ciliated columnar cells are lost,
superficial cells tend to become flat. Epithelium on one side of a
bronchus may have a squamous character, whereas that elsewhere is
columnar and ciliated. The flat epithelium may undergo thickening so
that it is 0.1 mm. or more in thickness. It is noteworthy that
regenerating epithelium growing over a denuded surface has the squamous
character which has been described (Plate XIV, Fig. 22).
=Bacteriology of the Bronchitis of Influenza.=—With the pneumonia of
influenza, bronchitis is invariably present. Cultures have been made
from the right or left main bronchus or from the very small bronchi
which contained purulent exudate. A routine method of making the culture
has been adopted. The right main bronchus, exposed by drawing the right
lung out of the chest and toward the midline, was widely seared with a
hot knife; the bronchus was partially cut across through the seared
surface with a heated knife and a platinum needle inserted into the
lumen. The bacteria obtained named in the approximate order of their
relative frequency have been: B. influenzæ, pneumococci, hemolytic
streptococci, staphylococci (aureus and albus), B. coli, S. viridans, M.
catarrhalis, and diphthoid bacilli which have not been identified. Mixed
infections occurred in most instances. The following list arranged by
grouping bacteria in the order cited above, shows how varied have been
the combinations which occur:
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