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
Our commission[67] published a preliminary report on pneumonia following
influenza observed at Camp Pike. The occurrence of purulent bronchitis,
distention of lungs, peribronchial hemorrhage and bronchiectasis were
described. B. influenzæ was isolated from the bronchi in approximately
85 per cent of instances of influenzal pneumonia but from the
consolidated lung in less than half this number of autopsies. Lobar
pneumonia was present in a large proportion of autopsies but was less
frequent than bronchopneumonia. Bronchopneumonic consolidation is in
part red, lobular and confluent, in part nodular; pneumococci have a
predominant part in the production of these lesions. Three types of
suppurative pneumonia are described: (_a_) Abscess caused by hemolytic
streptococci usually in contact with the pleura and accompanied by
empyema; (_b_) Suppuration of interstitial tissue of the lung caused by
hemolytic streptococci and accompanied by empyema; (_c_) multiple foci
of suppuration clustered about a bronchus of medium size and caused by
staphylococci. We have expressed the opinion that B. influenzæ descends
into the bronchi; pneumococci, usually Type IV, may enter the lung and
produce either lobar or bronchopneumonia. Hemolytic streptococci may
descend and infect the pneumonic lung causing death often before
suppuration has occurred. Epidemics of such superimposed streptococcus
pneumonia in wards of the hospital were described.
LeCount[68] says: “The pneumonia of influenza is commonly referred to as
bronchopneumonia. It may be so designated, but it differs from other
bronchopneumonias in its predilection for the periphery of the lungs and
in the extent to which the inflammation is hemorrhagic.”
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