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
Chart 4.—Shows the time interval between the onset of measles and the
onset of the subsequent pneumonia in the 56 cases of pneumonia
following measles at Camp Pike. Each case is represented by one of
the small blocks measured along the ordinate. The onset of measles
in all cases is represented by the line at the extreme left of the
chart. The onset of pneumonia in each case is indicated by the limit
of the block marked off in days to the right of this line.
]
(_a_) =Streptococcus Pneumonias.=—Nine cases of streptococcus pneumonia
developed. Of the 867 cases of measles studied, 242 showed throat
cultures positive for the hemolytic streptococci at some period of their
stay in the hospital. It appears then that 3.7 per cent of the patients
carrying hemolytic streptococci in their throats developed streptococcus
pneumonia. Thirty-seven cases had positive throat cultures when first
observed on admission to the measles wards. It is significant to note
that not a single case of pneumonia of any kind developed among these
cases.
MEASLES PNEUMONIA; STREPTOCOCCUS GROUP
Case 98, O. McN. Onset of measles, Sep. 19; admitted to hospital
Sep. 21; onset of bronchopneumonia, Oct. 21; of empyema, Oct. 23.
Recovered from pneumonia; convalescent in empyema ward.
_Bacteriology._—1. Throat culture for: (_a_) S. hem.: Sep. 21, −;
28, −; Oct. 9, −; 20, −; 23, +; Nov. 2, −; 9, −; 15, −; (_b_) B.
influenzæ: Sep. 21, +; 28, −; Oct. 9, +. 2. Pleural fluid (culture)
S. hem. Oct. 23, +.
Case 141, J. G. G. Autopsy No. 438. Onset of measles, Sep. 28;
admitted to hospital, Oct. 1; onset of bronchopneumonia, Oct. 6; of
otitis media (bilateral), Oct. 12; died, Oct. 18.
_Bacteriology._—1. Throat culture for: (_a_) S. hem., Oct. 2, −; 6,
−; 8, −; (_b_) B. influenzæ, Oct. 2, −; 6, +; 8, +. 2. Autopsy
cultures: Heart blood, negative; left lung, Pneumococcus II
atypical, B. influenzæ and S. viridans; right lung, S. hem. and B.
influenzæ; right bronchus, S. hem. and B. influenzæ.
Case 147, S. W. Autopsy No. 442. Onset of measles, Oct. 1; admitted
to hospital, Oct. 2; onset of bronchopneumonia, Oct. 17, with chill
and rapid development; died, Oct. 18.
_Bacteriology._—1. Throat culture for: (_a_) S. hem., Oct 2, −; 9 −;
15, −; 18, +; (_b_) B. influenzæ, Oct. 2, −; 9, −; 15, −; 18, −. 2.
Autopsy cultures: Heart blood, S. hem.; right main bronchus, S. hem.
and B. influenzæ.
Case 281, T. M. Onset of measles, Oct. 6; admitted to hospital Oct.
9; onset of bronchopneumonia, Oct. 21; of empyema, Oct. 23;
recovered from pneumonia; convalescent in empyema ward.
_Bacteriology._—1. Throat culture for: (_a_) S. hem., Oct. 10, −;
20, −; 24, +; Nov. 2, +; 9, +; 15, +; (_b_) B. influenzæ, Oct. 10,
−; 20, +. 2. Culture from pleural fluid, Oct. 23, S. hem.
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