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
The most noteworthy feature of the figures in Table XIV is the high
proportion of pneumonias due to types of pneumococci found in the mouths
of normal individuals, 93 cases or 88.6 per cent, being caused by
Pneumococcus Types II atypical, III, and IV. This is in harmony with the
results generally reported and is in all probability due to the fact
that in patients with influenza pneumococci, which under normal
conditions would fail to cause pneumonia, readily gain access to the
respiratory tract and produce the disease. It is also of interest that
with one exception the highly parasitic pneumococci of Types I and II
were associated with pneumonias clinically lobar in type.
Superimposed infection of the lungs with other types of pneumococci than
those primarily responsible for the development of pneumonia occurred
not infrequently in this group of cases either during the course of the
disease or shortly after recovery from the first attack of pneumonia.
Pneumococcus Type II infection was superimposed upon or shortly followed
pneumonia caused by Group IV pneumococci in 4 instances, by Pneumococcus
II atypical in 1 instance. In 1 case pneumonia due to Pneumococcus II
atypical occurred three days after recovery from a Pneumococcus Type I
pneumonia, in another case Pneumococcus Type III infection was
superimposed upon a pneumonia originally due to a pneumococcus of Group
IV. These cases are presented in detail in another section of this
report, and in several instances were shown to be directly due to
contact infection from patients in neighboring beds.
In a similar manner, superimposed infection with S. hemolyticus at some
time during the course of the pneumonia occurred in 13 cases in this
group, with fatal result in all but one. Streptococcus infection
occurred in pneumonia due to Pneumococcus II atypical once, to
Pneumococcus Type III once, and to pneumococci of Group IV eleven times.
Nine of these cases were free from hemolytic streptococci at the time of
onset of the pneumonia, 4 showed a very few colonies of hemolytic
streptococci in the first sputum culture made.
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