The pathology of influenzaWinternitz, M. C. (Milton C.)
Science
The pathology of influenza
Winternitz, M. C. (Milton C.)
Influenza
Only the eighty-two cases at the New Haven Hospital are included in the
following report. Routine post-mortem cultures were taken from blood,
lung, serous fluid wherever present, and exudates from the trachea and
bronchi in the later cases. Blood and serous fluids were cultured into
neutral infusion broth and plated on blood agar after twelve to
thirty-six hours’ incubation. Lung and bronchial cultures were streaked
on blood agar plates and for the last third of the series on Avery’s
oleate media. Cultures were examined on each successive day and were
discarded only after one week. Undoubtedly, we have failed to find B.
influenzæ in many of the earlier cases because of lack of familiarity
with the organism, of variations in its morphology (33), and of
unsuitable culture media. The organisms tabulated below include only
those determined by cultural methods; those found by direct smears or in
histopathological preparations are not considered. (See Table No. I.)
B. THE RELATION OF THE TYPE OF ORGANISM TO PLEURAL INVOLVEMENT
The hemolytic streptococcus has been found frequently in association
with purulent pleural effusions in influenza, Thomas (146), Stone and
Swift (138), Ely et al (37); and Goodpasture (48) has suggested an
etiologic relationship between the type of effusion and the infecting
organism in influenza, as has been brought forward for the similar
post-measles empyema in the army camps. At the New Haven Hospital the
Streptococcus hemolyticus was found frequently in non-fatal empyema.
However, at post-mortem examination the frequency of this organism in
pleural effusions of various types was no greater than that of several
other organisms, but it occurred in the only two cases of frank empyema
of this series. (See Table No. II.)
C. THE RELATION OF DIFFERENT ORGANISMS TO THE TYPE OF PNEUMONIA
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