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
Tubes of melted agar containing 12 c.c. cooled below 45° C., after
receiving 0.6 c.c. of sterile defibrinated horse blood, were inoculated
with a loopful of this broth. Thorough mixing and pouring into Petri
dishes (10 cm. diameter) followed. After cooling, a second loopful was
streaked over the surface of one half of the plate. Deep and superficial
planting were thus effected on the same plate.
This method was found to be very useful. It can be used with advantage
provided one is not called upon to make a great number of cultures when
its time consuming factor is a great inconvenience. Another disadvantage
is the difficulty of picking single colonies for subculture. In spite of
the most careful selection and fishing of a deep colony, subcultures are
less likely to be pure than when surface colonies are chosen. By careful
regulation of the amount of agar in the tubes, the addition of a
measured amount of blood to each enabled one to pour standard blood agar
plates. Uniform thorough mixing of the blood is essential so that the
plate may present the desired “silky” rather than a “curdled” appearance
when viewed by transmitted light.
The plates were incubated eighteen to twenty-four hours when subcultures
in broth were made from the hemolytic colonies. After growing these for
a similar period the additional tests were carried out as indicated
above.
=Hemolytic Streptococci with Measles.=—The incidence of hemolytic
streptococci in the throats of patients with measles admitted to the
base hospital at Ft. Riley was found to be remarkably small.
TABLE LV
HEMOLYTIC STREPTOCOCCI WITH MEASLES IN ALL PATIENTS ADMITTED TO THE
WARDS AT CAMP FUNSTON
═══════════════╤════════╤═══════════╤════════╤════════════╤════════════
│ │APPROXIMATE│ NO. OF │ NO. WITH │ PER CENT
│DAYS IN │ DAY OF │PATIENTS│ HEMOLYTIC │ WITH
│HOSPITAL│ DISEASE │CULTURED│STREPTOCOCCI│ HEMOLYTIC
│ │ │ │ │STREPTOCOCCI
───────────────┼────────┼───────────┼────────┼────────────┼────────────
First Culture │ 0 to 1│ 1 to 8│ 112│ 3│ 2.67
Second Culture │ 3 to 10│ 4 to 16│ 86│ 11│ 12.79
Third Culture │ 8 to 23│ 12 to 26│ 58│ 14│ 24.14
───────────────┴────────┴───────────┴────────┴────────────┴────────────
The first culture represents the findings on admission, in a series of
112 cases; 86 patients being cultured twice; 58 patients three times.
Of the 112 cases examined on admission only 3, or 2.67 per cent were
found to carry hemolytic streptococci. Those patients who were
recultured after from three to ten days in the hospital showed an
incidence of 12.8 per cent. A third culture including patients from
eight to twenty-three days in the hospital, showed an incidence of 24.1
per cent.
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