Studies on Epidemic Influenza: Comprising Clinical and Laboratory InvestigationsUniversity of Pittsburgh. School of Medicine
History
Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations
University of Pittsburgh. School of Medicine
Influenza; Influenza Epidemic, 1918-1919
The reaction naturally suggests the stage of gray hepatization as we so
well appreciate it in ordinary pneumococcus-pneumonia and from the
standpoint of its color and the greater solidification of the lung
tissue we might speak of it as such. Here, however, it must be clearly
distinguished from the gray hepatization of ordinary pneumonia. This
secondary lesion of influenza-pneumonia has but little in common other
than its color and the development of a consolidation with true lobar
pneumonia. It is never as clear cut as we see it in the latter and the
degree of the “gray hepatization” is not uniformly distributed through
the involved lobe. One portion of the lobe will show a diffuse gray hue
while in other parts more decided lobular or patchy areas are picked out
in the advanced reaction. There is not the uniformity of lobar
involvement nor is the distribution as regular as one obtains it in
broncho-pneumonia. Furthermore, the character of the consolidation
differs very decidedly in showing such a variety of hues in reds and
grays and the cut surface is not the picture of the dry granular
consolidation of our endemic disease. The gray areas are in all states
of wetness and ooze a slimy fluid on the cut surface. In the later
stages this exudate is most profuse resembling a sticky pus. In its
appearance we were reminded of the character seen in unresolved
pneumonia as well as in the pneumonias produced by the pneumococcus
mucosus, and the B. mucosus capsulatus. We would, therefore, avoid the
use of the term gray hepatization and in place of it, as the evidence
with the microscope confirms, use the term _purulent pneumonia_.
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