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
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On admission 35.6 per cent of the patients were found positive for B.
influenzæ. Repeated throat cultures were not confined to those appearing
negative on this initial culture, but were made on all patients without
regard to their being previously positive or negative. By a summation of
the results of the weekly cultures of all patients, the percentage of
patients carrying B. influenzæ rises from 35.6 per cent on admission, to
62.7 per cent after one week; to 77.7 per cent after two weeks; to 84
per cent after three weeks in the hospital.
To gain some idea of the rate of spread of B. influenzæ in wards
receiving only patients whose throat cultures were negative for B.
influenzæ on admission, a similar summation of the results of repeated
throat cultures on patients in negative wards shows weekly increases
from 47.5 per cent after one week, to 68.1 per cent after two weeks; to
79 per cent at the end of three weeks.
These results demonstrate quite clearly that the measles wards were
saturated with B. influenzæ during the period of the influenza epidemic.
Conditions within the measles wards with regard to B. influenzæ were not
at all different from those in the camp community during this period.
While no clinical methods could be relied upon to diagnose influenza in
the presence of an acute attack of measles, there is every reason to
believe that the occurrence of clinical influenza with measles was no
less frequent than was its incidence in the camp at large, that is,
about 20 to 25 per cent. That influenza played a large part in
determining predisposition to the complications of measles in this
series seems evident.
Hemolytic Streptococci with Measles at Camp Pike
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