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
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│AVERAGE │ NUMBER │TOTAL DEATHS │ CULTURES AT AUTOPSY
│ NUMBER │ OF │ AMONG │
│ OF │PATIENTS│ PATIENTS │
│PATIENTS│ADMITTED│ ADMITTED │
│IN WARD │ │ DURING THE │
│ │ │CORRESPONDING│
│ │ │ PERIOD │
───────┼────────┼────────┼──────┬──────┼────────────┬───────────┬────────────
„ │ „ │ „ │NUMBER│ PER │PNEUMOCOCCUS│ S. │UNDETERMINED
│ │ │ │ CENT │ │HEMOLYTICUS│(NO AUTOPSY)
───────┼────────┼────────┼──────┼──────┼────────────┼───────────┼────────────
Sept. │ │ │ │ │ │ │
6–20 │ 25.5│ 18│ 2│ 11.1│ 2│ 0│ 0
Sept. │ 46.1│ 59│ 20│ 33.9│ 10│ 1│ 9
21–Oct.│ │ │ │ │ │ │
5 │ │ │ │ │ │ │
───────┴────────┴────────┴──────┴──────┴────────────┴───────────┴────────────
During the period from September 6 to 20, prior to the outbreak of
influenza in epidemic proportions among the colored troops, the ward had
an average population of 25.5 patients; 18 new cases of pneumonia were
admitted during this period, all of whom were pneumococcus pneumonias as
determined by bacteriologic examination of the sputum at time of
admission to the ward. Only 2 died, a mortality of 11.1 per cent,
autopsy cultures showing pneumococcus in both cases. All these patients
were treated on the porch of the ward while they were acutely sick.
During the second period from September 21 to October 5, when the
influenza epidemic was at its height, the ward rapidly filled with
active cases of pneumonia and became distinctly crowded. It contained an
average of 46.1 patients, but had actually reached a population of 64
patients at the end of the period. Of the 59 new cases admitted, 20
died, a mortality of 33.9 per cent, 10 with pneumococcus pneumonia, one
with hemolytic streptococcus pneumonia. In 9 there was no autopsy. The
conditions in Ward 8 were quite analogous to those in Ward 3. In spite
of the overcrowding during the second period no outbreak of secondary
infection with S. hemolyticus occurred, but secondary pneumococcus
infection did occur as will be shown below.
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