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
Notwithstanding the small number of autopsies, the figures in Table
XLIX, showing the incidence of pneumococci, streptococci, staphylococci
and B. influenzæ, are cited so that they may be compared with the
corresponding figures for the usual type of streptococcus abscess (p.
203). The incidence of hemolytic streptococci is relatively low, whereas
that of staphylococci approximates 100 per cent. S. aureus was present
in great number in the lung of Autopsies 322 and 333 and in pure culture
in the abscess of Autopsy 370. Microscopic examination of sections from
the abscesses which have been described, demonstrated the presence of
Gram-staining cocci in characteristic staphylococcus-like clumps within
the exudate of the abscesses; scattered chains of streptococci were not
found. In those instances (Autopsies 280 and 286) in which cultures
failed to demonstrate staphylococci, microscopic examination
demonstrated staphylococcus-like clumps of bacteria within the abscess
cavity. Cultures were usually made from the consolidated lung near the
abscess where the pleural surface could be seared, rather than from the
pus, so that in some instances the microorganism has doubtless escaped
detection although present.
In association with the multiple abscesses which have been described,
injury to the bronchi and bronchopneumonia have been invariably present.
Purulent bronchitis has been present in all instances of this lesion; in
2 instances there has been dilatation of the bronchi, and in 1 instance
in which the onset of influenza was twenty-nine days before death, there
has been advanced bronchiectasis.
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