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
Pneumonic consolidation distributed with relation to the bronchi
exhibits considerable variety, and an attempt to define a type of
bronchopneumonia characteristic of influenza would be futile.
Nevertheless, the bronchopneumonia of influenza has in many instances
distinctive characters.
Lesions of bronchopneumonia which are frequently found in the autopsies
under consideration may be conveniently designated by descriptive terms,
indicative of their location in the lung tissue. These lesions, of which
two or more often occur in the same lung, are:
1. Peribronchiolar consolidation with which the inflammatory exudate is
limited to the alveoli in the immediate neighborhood of the bronchioles.
2. Hemorrhagic peribronchiolar consolidation in which gray patches of
peribronchiolar pneumonia occur upon a deep red background produced by
hemorrhage into alveoli. Pfeiffer believed that this lesion was
characteristic of influenza.
3. Lobular consolidation with which consolidation is limited to lobules
or groups of lobules.
4. Peribronchial pneumonia with which small bronchi are encircled by
pneumonic consolidation.
Each one of these lesions will be discussed separately.
Following is a list of the bacteria which have been isolated from the
consolidated lung of individuals with bronchopneumonia unaccompanied by
lobar pneumonia or by suppuration:
B. influenzæ 1
Pneumococci 5
S. hemolyticus 5
S. viridans 1
B. influenzæ, pneumococci 9
B. influenzæ, S. hemolyticus 4
B. influenzæ, staphylococci 4
Pneumococci, S. hemolyticus 1
Pneumococci, staphylococci 2
S. hemolyticus, staphylococci 1
S. hemolyticus, B. coli 1
Staphylococci, S. viridans 1
Staphylococci, B. coli 1
B. influenzæ, pneumococci, staphylococci 1
B. influenzæ, pneumococci, S. viridans 1
B. influenzæ, S. hemolyticus, staphylococci 2
B. influenzæ, pneumococci, staphylococci, S. viridans 1
No microorganisms found 6
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