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
=Bacteriology of Pneumonia Following Measles.=—When observations made
during life are combined with the results of postmortem cultures, the
bacteriology of 35 of the 56 cases is available and is as follows:
Pneumococcus Type II atypical in 36 per cent, Type IV in 22.9 per cent,
Type I in 2.8 per cent, Type III in 2.8 per cent, hemolytic streptococci
in 22.4 per cent, and B. influenzæ in 88.6 per cent of these cases.
=Otitis Media and Mastoiditis Complicating Measles.=—The occurrence of
otitis media and mastoiditis complicating measles in patients harboring
hemolytic streptococci in their throats has already been presented
(Table LXIV). The bacteriology of these complications was not studied by
this commission. The records of the base hospital laboratory at Camp
Pike contain reports of twenty-nine cultures made at operation from pus
in the middle ear and the mastoid bone. Hemolytic streptococci were
found in 22 of these cases. Throat cultures were in accord with these
positive findings in all except a few instances. The throat culture
serves as a fairly reliable index of the bacterial nature of these
complications. By combining our records of throat cultures with the
results of the cultures from the lesions, hemolytic streptococci were
obtained from 37 of the 48 cases of otitis media. In 23 cases of
mastoiditis following the otitis media, hemolytic streptococci were
demonstrated in all except 2. It is evident that the great majority of
these complications were due to hemolytic streptococci.
The relation between the appearance of hemolytic streptococci in the
throat and the onset of the otitis is recorded in all except 4 of the 31
instances of otitis media occurring in patients with throat cultures
positive for hemolytic streptococci. These four patients had positive
throat cultures when first observed and represent the only patients who
carried hemolytic streptococci when admitted to measles wards and
developed complications.
The first of these patients had been under treatment in an otologic ward
during a month before measles developed. Measles caused a recurrence of
disease of the ear with double mastoiditis requiring bilateral
operation. Two other patients had been in the hospital ten and eleven
days respectively before they were admitted to the measles ward; on
admission to the ward otitis media was present in one patient and in the
other it developed six days later. The fourth patient was admitted to
the measles wards directly from the camp, and culture from the throat on
the day of admission showed the presence of S. hemolyticus. Two weeks
later at the time of onset of otitis media, culture from the throat
contained no hemolytic streptococci. Repeated cultures during the next
three weeks were negative. No complications of otitis media developed
and no direct cultures from the ear are recorded.
[Illustration:
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