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
=Presence of Pneumococcus in Cases of Influenza.=—It seemed of some
importance to determine the prevalence of pneumococcus in cases of
influenza, not because of any possibility that pneumococci might bear an
etiologic relationship to the disease, but more by way of comparison
with the prevalence of B. influenzæ, since both organisms are found in
the mouths of normal individuals and are also frequently found together
in the pneumonias that complicate influenza. The results obtained in
cases of influenza early in the disease before the development of either
a purulent bronchitis or of pneumonia are presented. The presence of
pneumococcus was determined by the intraperitoneal inoculation of white
mice with the saliva or sputum.
Twenty-four cases examined on September 27 and 28 gave the results shown
in Table IV. These patients had been in the hospital from two to five
days at the time the determinations were made.
TABLE IV
PNEUMOCOCCUS IN CASES OF INFLUENZA
═══════════════════════════════════╤═════════════════╤═════════════════
│ NUMBER │ PER CENT
───────────────────────────────────┼─────────────────┼─────────────────
Pneumococcus, Type I │ 0│ 0
Pneumococcus, Type II │ 0│ 0
Pneumococcus, Atypical II │ 0│ 0
Pneumococcus, Type III │ 2│ 8.3
Pneumococcus, Group IV │ 15│ 62.5
No pneumococci found │ 7│ 29.2
───────────────────────────────────┴─────────────────┴─────────────────
From November 27 to December 1, the pneumococci present in 47
consecutive cases of influenza were determined. In this group specimens
of sputum were collected shortly after admission of the patients to the
receiving ward of the hospital. The results are shown in Table V.
TABLE V
PNEUMOCOCCI IN CASES OF INFLUENZA
═══════════════════════════════════╤═════════════════╤═════════════════
│ NUMBER │ PER CENT
───────────────────────────────────┼─────────────────┼─────────────────
Pneumococcus, Type I │ 0│ 0
Pneumococcus, Type II │ 0│ 0
Pneumococcus, Atypical II │ 2│ 4.3
Pneumococcus, Type III │ 0│ 0
Pneumococcus, Group IV │ 25│ 53.2
No pneumococci found │ 20│ 42.5
───────────────────────────────────┴─────────────────┴─────────────────
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