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
A microscopic section through the abscess and its communication with
the pleura shows that its cavity contains polynuclear leucocytes and
the wall is formed by granulation tissue covered by fibrin. Some
alveoli outside the abscess contain compact balls of fibrin
containing a few fibroblasts; this fibrin stains deeply with
hematoxylin as if it contained calcium. The surface of the lung is
covered by fibrin in process of organization.
In the foregoing instance a pulmonary abscess on the right side has
ruptured into the pleura and, completely separated from the adjacent
lung by a wall of newly formed tissue, is in process of healing. It
shows that these pulmonary abscesses below the pleura may heal provided
drainage is established by rupture into the pleural cavity and
subsequent evacuation of pleural exudate. It is noteworthy that in this
instance empyema extended from the right to the left pleural cavity,
both S. hemolyticus and S. aureus were found at autopsy. The thoracotomy
wound on the right side was closed at autopsy.
Interstitial Suppurative Pneumonia
A second type of suppurative pneumonia is characterized by acute
inflammation of interstitial tissue between the secondary lobules of the
lung and by acute lymphangitis; suppuration involves the interstitial
septa and the walls of the lymphatics. The lesion is designated by
Kaufmann,[82] Beitzke[83] and others acute interstitial pneumonia.
_Pneumonia dissecans_ in which solution of interstitial tissue isolates
sections of lung tissue is said to be a consequence of the lesion. Many
text books of pathology, overlooking the occurrence of this lesion,
limit the consideration of interstitial pneumonia to chronic processes
in which the interlobular and interalveolar fibrous tissue is increased.
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