Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
A current comment in the Journal of the American Medical Association in
1912 remarks that epidemics of coryza, sore throat, and bronchitis
usually have been called influenza or grip because of the characteristic
contagiousness and the infectivity, the persistence of the symptoms, and
the tendency to prostration and mental depression. But this diagnosis
has not been satisfactorily confirmed by bacteriologists. An epidemic
according to the Journal, which occurred in Boston and which was called
sore throat, was studied by Richardson and others. They traced the
contagion to a streptococcus which apparently was spread by means of
milk. Müller and Seligman had recently carried out a study of an
influenza epidemic among children in Berlin and concluded that the
causative organism was a streptococcus, differing so much from the
ordinary germ that they used the term “grip streptococcus.” Davis and
Rosenau, according to the comment, had made a bacteriologic study of a
recent epidemic of sore throat in Chicago, and had demonstrated as the
exciting agent a streptococcus of peculiar characteristics, which in
many respects resembled the organism described by Müller and Seligman.
The Journal noted that these three epidemics occurring during the years
1911 and 1912 in widely separated communities were all caused by the
streptococcus, and cautioned against the proneness to call all such
epidemics grip. Today the predominance of the streptococcus would not
necessarily rule out influenza in our minds.
In the winter of 1913, C. L. Sherman had occasion to study carefully
fourteen cases of so-called influenza in the vicinity of Luverne,
Minnesota. Bacteriologic smears and cultures were made from the throat
and sputum in all cases. Bacillus influenzae was found in two of the
fourteen; pneumococcus in four and streptococcus in all. Tubercle
bacilli were found in one case. The onset of the disease was invariably
abrupt. The fever in all cases ranged between 101° and 104°; symptoms
indicative of infection of the upper respiratory tract were always
present. There was more or less sore throat in all. There was either
cough at the onset or else it appeared within 48 hours. Headache was
complained of by twelve of the fourteen; pains in the back and in the
limbs by thirteen, and nervous symptoms by six. Prostration out of all
proportion to the fever and other symptoms prevailed. Two developed an
otitis media and the streptococcus was isolated from the purulent
discharge in both cases. One patient had a complicating empyema, and one
an acute arthritis. Sherman also concluded that we are prone to call too
diverse diseases influenza.
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