The pathology of influenzaWinternitz, M. C. (Milton C.)
Science
The pathology of influenza
Winternitz, M. C. (Milton C.)
Influenza
From this intermediary stage the picture of actual abscess with
mortification of bronchiolar and alveolar tissue, as well as of the
exudate itself, is readily approached (25, 48, 110, 140) (Fig. XXXI). In
the necrotic mass that forms the center of such a focus, the most
prominent feature is the bacteria. With hematoxylin they stain intensely
as black, irregular masses, and their prominence is accentuated by the
homogeneous staining qualities (with eosin) of the dead tissue, whether
lung or exudate (Fig. XXXII). These abscesses may have central cavities
which represent a discharge of their contents and may indicate the
position of a bronchiole (Fig. XXXI). The necrosis of the alveolar
walls, focal in its distribution as previously described, suggests
itself as a forerunner of the more extensive necrosis encountered at
this stage.
The most extreme form of mortification is seen in the wall of a
gangrenous cavity, and several layers can be distinguished there.
Beginning with that portion of the lung the least involved, the lesion
may be limited to congestion of the alveolar wall with a serofibrinous
exudate in the lumen, but this stage passes rather rapidly into another
where cellular exudate, chiefly of polymorphonuclear leucocytes,
predominates. Moreover, the leucocytes form not only the bulk of the
alveolar content, but also distend the vessels and accumulate in the
interstitial tissue around blood vessels and lymphatics. Passing toward
the center of the gangrenous cavity, the lung rapidly changes in
appearance. The blue zone of leucocytic infiltration makes more
conspicuous the inner area of necrosis—where nuclei no longer stain and
the alveolar wall is a homogeneous pink.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account