Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measlesOpie, Eugene L. (Eugene Lindsay)
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Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles
The percentage incidence of pneumococcus, hemolytic streptococcus,
staphylococcus and B. influenzæ in bronchus, lung and blood, given in
Table XXXVI, is inserted to indicate with what readiness each one of
these microorganisms passes from the bronchus through the lung into the
circulating blood.
TABLE XXXVI
══════════════╤═════════════╤═════════════╤══════════════╤═════════════
│PNEUMOCOCCUS │ HEMOLYTIC │STAPHYLOCOCCUS│B. INFLUENZA
│ │STREPTOCOCCUS│ │
──────────────┼─────────────┼─────────────┼──────────────┼─────────────
Bronchus │ 39.4%│ 57.7%│ 60.6%│ 84.8%
Lung │ 43.9%│ 61.0%│ 21.9%│ 43.9%
Blood │ 40.3%│ 36.8%│ 0. %│ 0. %
──────────────┴─────────────┴─────────────┴──────────────┴─────────────
B. influenzæ is present in the bronchi in a very large proportion (84.8
per cent) of those in whom this type of bronchopneumonia has been found
at autopsy; it is much less frequently recovered from the lungs.
Staphylococci, in part S. albus and in part S. aureus, are less
frequently found in the bronchi and are recovered from the lungs in a
relatively small proportion of autopsies. The percentage incidence of
pneumococci and streptococci in lungs and blood demonstrates the
pathogenicity of these microorganisms, for whereas pneumococci and
hemolytic streptococci are found in the consolidated lungs in 43.9 and
61.0 per cent of instances of the lesion respectively, they make their
way into the blood in 40.3 and 36.8 per cent of instances.
Coexisting infection with pneumococci and hemolytic streptococci has
been not uncommon e. g., Autopsy 275 in which both were in the blood; in
2 instances (Autopsies 333 and 378) in which pneumococci were obtained
from the blood, hemolytic streptococci were found in the lungs and
bronchi; in 3 instances (Autopsies 258, 273 and 445) in which hemolytic
streptococci were present in the blood, pneumococci were obtained from
the lungs.
In the group of autopsies under consideration, examination of the sputum
was made during life and after onset of pneumonia in 11 instances. The
microorganisms found in the sputum and at autopsy were as follows:
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