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
Case 285, J. H. Onset of measles, Oct. 4; admitted to hospital, Oct
9; onset of lobar pneumonia, Oct. 29; of empyema, Nov. 9;
convalescent in empyema ward.
_Bacteriology._—1. Throat cultures for: (_a_) S. hem., Oct. 11, −;
20, −; 24, +; 29, −; Nov. 2, −; 9, −; (_b_) B. influenzæ, Oct. 11,
−. 2. Cultures from pleural fluid, Nov. 9 and 13, S. hem.
Case 714, W. H. Onset of measles, Oct. 26; admitted to hospital,
Oct. 28; otitis media, Nov. 8; onset of bronchopneumonia, Nov. 9; of
empyema, Nov. 17; convalescent in pneumonia ward.
_Bacteriology._—1. Throat cultures for: S. hem., Oct. 28, −; Nov. 4,
−; 12, +; 23, +; 30, +; Dec. 7, +; 12, −. 2. Sputum: Nov. 10,
Pneumococcus II atypical, S. hem. and B. influenzæ.
Case 730, W. S. Autopsy No. 491. Onset of measles, Oct. 26; admitted
to hospital, Oct. 29; onset of bronchopneumonia, Nov. 10; of
empyema, Nov. 11; of cervical adenitis, Nov. 5; died, Nov. 15.
_Bacteriology._—1. Throat culture for: S. hem., Oct. 30, −; Nov. 4,
+. 2. Sputum: Nov. 10, S. hem. 3. Pleural fluid: Nov. 11, S. hem.
Autopsy bacteriology: Heart blood, S. hem.; right main bronchus, B.
influenzæ, B. coli; right lung, S. hem. and B. influenzæ; right
pleura, S. hem.; peritoneum, S. hem.
Case 751, P. B. Autopsy No. 492. Entered hospital, Oct. 19; onset of
measles, Oct. 30; of bronchopneumonia, Nov. 5; of right empyema,
Nov. 12; died, Nov. 16.
_Bacteriology._—1. Throat cultures for: S. hem., Nov. 1, −; 4, +;
15, +. 2. Sputum: Nov. 13, B. influenzæ and S. hem. 3. Autopsy
cultures: Heart blood, S. hem.; right lung, S. hem., Pneumococcus
IV, B. influenzæ, B. coli; pericardium, negative; right pleura, S.
hem.; peritoneum, S. hem.
Case 880, B. McN. Autopsy No. 507. Onset of measles, Nov. 30;
entered hospital, Dec. 3; onset of bronchopneumonia, Dec. 11; of
empyema, Dec. 14; died, Dec. 14.
_Bacteriology._—1. Throat cultures for: S. hem., Dec. 3, −; 5, −;
12, +. 2. Cultures from pleural fluid, Dec. 14, S. hem. 3. Autopsy
cultures: Heart blood, S. hem.; right main bronchus, S. hem., B.
influenzæ, staphylococcus (a few); left lung, S. hem.; left pleura,
S. hem.
The average period in the hospital before the development of the
streptococcus pneumonia is about two weeks. Cases 98 and 285 were in the
hospital thirty and twenty days respectively before the onset of
pneumonia. There is a record of from one to four negative throat
cultures on each case before streptococcus was found in the throat. This
enables us to fix the onset of the pneumonia with reference to the
appearance of the streptococcus in the throat.
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