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
On section of the right lung (Fig. 27) the tissue is found in great
part air containing but there are numerous firm, gray patches,
irregular in shape and from 1 to 2 cm. across. In these spots the
tissue is tough and resembles fibrous tissue; within them are much
dilated bronchi. In the central part of the upper lobe is a group of
cavities with smooth wall, the largest of these cavities being 12
mm. in diameter; immediately adjacent are dilated bronchi. Between
and surrounding these cavities is gray tissue, like that described
above. Below the outer surface of the upper lobe is an extensive
area 7 cm. from above downward, thickly studded with bronchiectatic
cavities, in the walls of which there is tough fibrous tissue. In
the middle lobe are several dilated bronchi, the largest of which is
7 mm. in diameter, and elsewhere occur dilated bronchi with
thickened walls. At the base of the lung below the pleura are two
abscesses, which are yellow in the center and surrounded by
hemorrhagic tissue. At the posterior part of the lower lobe there
are numerous firm, nodular, yellowish spots grouped in clusters upon
a background of red, air containing tissue. The bronchi throughout
the lung contain mucopurulent fluid.
In the left lung patches of fibrous tissue are more numerous than on
the right side and are irregular in shape, from 1 to 2 cm. across
and most abundant in the center of the upper lobe. This fibrous
tissue is in great part gray but in places it has a yellowish tinge.
The bronchi everywhere are moderately dilated. At the base of the
lung below the pleura is an abscess.
The other organs show no noteworthy change.
=Bacteriologic Examination.=—The fluid in the left pleura and right
main bronchus contain S. hemolyticus. B. influenzæ is found in the
right lung and right main bronchus.
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