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
Fig. 15.—Abscesses in two clusters caused by S. aureus in upper part
of right upper lobe; confluent lobular consolidation in lower part
of lobe. Autopsy 333.
]
[Illustration:
Fig. 16.—Abscesses in cluster caused by S. aureus at apex of right
upper lobe. Autopsy 322.
]
=Autopsy 322.=—The patient was admitted with influenza eight days
before death; signs of pneumonia appeared two days later, and on the
following day Pneumococcus IV was obtained from the sputum. At
autopsy there were bronchopneumonia with lobar consolidation,
abscesses clustered about a bronchus in the right upper lobe and
purulent bronchitis. The blood was sterile; S. aureus was obtained
from the consolidated part of the left lung; S. aureus and
Pneumococcus III from the abscesses of the right lung. Microscopic
examination of sections of abscesses showed the presence of
Gram-staining cocci in staphylococcus-like colonies, surrounded by
necrotic material and polynuclear leucocytes; Gram-negative bacilli
resembling B. influenzæ were seen. (See Fig. 16.)
=Autopsy 333.=—The onset of influenza was fifteen days before death;
a diagnosis of pneumonia was made seven days before death. At
autopsy there were confluent bronchopneumonia, clustered abscesses
in the right lung and purulent bronchitis (no pleurisy). The blood
contained Pneumococcus II atypical. S. aureus and Pneumococcus II
atypical were obtained from the abscesses; S. hemolyticus, from the
consolidated left lung; S. aureus, B. influenzæ and a few hemolytic
streptococci, from the bronchus. (See Fig. 15.)
=Autopsy 370.=—The patient was admitted seventeen days before death
and signs of pneumonia were noted three days after admission. At
autopsy there were lobular and confluent bronchopneumonia and small
abscesses clustered about bronchi and situated within the gray
consolidated lung; purulent bronchitis and patches of atelectasis,
with distention of the lungs, so that they failed to collapse on
removal. No growth was obtained from the heart’s blood; S. aureus in
pure culture was obtained from the abscesses of the right lung; S.
aureus, Pneumococcus IV and B. influenzæ were obtained from a small
bronchus on the left side.
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