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
(_b_) =Pneumonia with Hemolytic Streptococci in the Throat without
Symptoms Referable to the Streptococcus.=—Thirteen cases of pneumonia
associated with measles developed into S. hemolyticus “carriers” without
having the course of the disease affected by the presence of the
organism in the throat. Cases 705, 872, and 188 are of interest in that
hemolytic streptococci were identified in the throats from one to six
days prior to the onset of the pneumonia. In spite of their presence,
the symptoms, course and outcome of the pneumonia were apparently
unaffected. One of these cases (Case 872) died. Autopsy showed lobar
pneumonia with no signs of invasion of the lung by hemolytic
streptococci. Cultures at autopsy showed that pneumonia was due to a
pneumococcus, Type II atypical. A few hemolytic streptococci were found
in culture from the right main bronchus.
Of the remaining 10 cases 1 developed S. hemolyticus in a throat culture
at the end of the first week of the pneumonia; 3 during the second week;
1 during the third week, and 5 further along in the convalescent period.
In 8 cases hemolytic streptococci appeared in the throat, at a time when
invasion of the lower respiratory tract by the streptococcus might be
expected, and yet none of them developed evidence of streptococcus
pneumonia. The 9 cases with hemolytic streptococci appearing late in
convalescence are not of particular interest, since the dangers of lower
respiratory invasion are much reduced after the acute stage of the
pneumonia has passed. Three of these cases (Cases 678, 725 and 398) did
however develop ear complications directly referable to the
streptococcus invasion of the throat. Two of them terminated in
mastoiditis with operation. These cases emphasize the greater tendency
of S. hemolyticus to invade the middle ear rather than the lung.
In 3 fatal cases of pneumococcus pneumonia in which during life no
hemolytic streptococci were found by throat culture, a few hemolytic
streptococci were found at autopsy in culture from the main bronchi,
along with predominating growths of pneumococci and B. influenzæ. In 2
instances there was frank lobar pneumonia and in the third
bronchopneumonia; there was no evidence to show that hemolytic
streptococci had any relation to the pneumonia which was found.
MEASLES PNEUMONIAS; GROUP CARRYING HEMOLYTIC STREPTOCOCCI
Case 705. Onset of measles, Oct. 25; admitted to hospital, Oct. 27;
onset of bronchopneumonia, Nov. 10; acute pleurisy, Nov. 16;
convalescent in pneumonia ward.
_Bacteriology._—1. Throat cultures for: S. hem., Oct. 27, −; Nov. 4,
−; 11, +; 15, +; 23, −; 30, −; Dec. 7, −; 12, −. 2. Sputum: Nov. 10,
Pneumococcus II atypical, S. hem. and B. influenzæ.
Case 872. Autopsy No. 508. Onset of measles, Nov. 29; admitted to
hospital, Nov. 30; onset of lobar pneumonia, Dec. 10; died, Dec. 14.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account