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
Staphylococci 1
B. influenzæ, pneumococci 1
B. influenzæ, S. hemolyticus 2
B. influenzæ, pneumococci, staphylococci 1
B. influenzæ, S. hemolyticus, staphylococci 4
No organism found 1
The high incidence of B. influenzæ and the frequent association of B.
influenzæ and hemolytic streptococci are noteworthy. The instance in
which no organisms were found is probably due to a defect in media and
should perhaps be excluded from the list.
The percentage incidence of pneumococci, hemolytic streptococci,
staphylococci and B. influenzæ in the bronchus, lungs and blood of the
heart is an index of the facility with which these microorganisms
penetrate internal organs when the bronchi are the site of this
hemorrhagic lesion.
TABLE XLI
════════╤════════╤═════════════════╤═════════════════
│ NO. OF │ │ HEMOLYTIC
│CULTURES│ PNEUMOCOCCI │ STREPTOCOCCI
────────┼────────┼────────┬────────┼────────┬────────
│ │ NO. │PER CENT│ NO. │PER CENT
│ │POSITIVE│POSITIVE│POSITIVE│POSITIVE
────────┼────────┼────────┼────────┼────────┼────────
Bronchus│ 10│ 2│ 20.0│ 6│ 60.0
Lung │ 13│ 4│ 30.8│ 7│ 53.8
Blood │ 17│ 4│ 23.5│ 9│ 52.9
────────┴────────┴────────┴────────┴────────┴────────
════════╤═════════════════╤═════════════════
│ │
│ STAPHYLOCOCCI │ B. INFLUENZÆ
────────┼────────┬────────┼────────┬────────
│ NO. │PER CENT│ NO. │PER CENT
│POSITIVE│POSITIVE│POSITIVE│POSITIVE
────────┼────────┼────────┼────────┼────────
Bronchus│ 6│ 60.0│ 8│ 80.0
Lung │ 3│ 23.1│ 5│ 38.5
Blood │ │ │ │
────────┴────────┴────────┴────────┴────────
When these figures are compared with those for all forms of bronchitis
no very noteworthy differences are found; the incidence of pneumococci
here is less and that of hemolytic streptococci greater. In association
with the severe changes present in the bronchi, hemolytic streptococci
which enter the lungs almost invariably find their way into the blood.
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