The pathology of influenzaWinternitz, M. C. (Milton C.)
Science
The pathology of influenza
Winternitz, M. C. (Milton C.)
Influenza
After removal, the lung retains its shape, but is more flaccid than the
consolidated lung of lobar pneumonia. It cuts with very little
resistance and immediately a large amount of a syrupy, pink fluid
escapes and obscures the entire area. With the fluid scraped away, the
variations in the consistency of the lung become visible. The pale areas
around the borders and chiefly at the apex in which the air sacs are
discernible with the naked eye, sink slightly below the remainder of the
surface, and the pleural edge inverts. The individual lobules of the
lung in these areas are more conspicuous than normal, because the
interstitial tissue bearing the lymphatics and vessels, as well as that
around the bronchi and larger blood vessels, does not lose its edematous
appearance as quickly as the alveoli (40, 92, 110, 164), and,
consequently, these grey lines and points stand up somewhat more
prominently.[6] In contrast with the paler areas which are prone to
slight collapse, the remainder of the cross section retains its more
smooth and even surface. The alveolar walls are not distinctly made out,
but the terminal bronchioles often make themselves evident by the nature
of the material which is within and by their distinct dilatation (1, 67,
110, 149, 162). The more firm areas stand out, too, on account of their
difference in color. The scheme is not unlike that seen on the pleural
surface, and while dark, almost black, infarct-like areas occur on the
cut surface, the solid areas are more likely to be translucent, dull,
light red, brown or even grey. They have a surface similar to a very
fresh, tuberculous, gelatinous pneumonia, but the color differs from the
cloudy grey of the latter on account of the admixture of blood in the
exudate and the great congestion of the vessels (Fig. XIV).
_Summary._
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