Читать книгу Epidemic Respiratory Disease - Thomas M. Rivers - Страница 13
Оглавление| Table XVI | |||||||
|---|---|---|---|---|---|---|---|
| Cases of Bronchopneumonia Following Influenza | |||||||
| CASE | ONSET OF INFLUENZA | ONSET OF PNEUMONIA | SPUTUM EXAMINATION | COURSE OF PNEUMONIA | NECROPSY | ||
| DATE | BACTERIOLOGY | DIAGNOSIS | BACTERIOLOGY | ||||
| 70 | Sept. 18 | Sept. 21 | Sept. 22 | B. inf. ++++ Pn. IV ++ | Diffuse bronchitis with rapidly progressive confluent bronchopneumonia. Died Sept. 24 | Nodular and diffuse confluent lobular pneumonia. Purulent bronchitis. Bronchiectasis | H.B. sterile Br. B. inf. ++++ Pn. IV ++ Lun. B.inf. +++ Pn. IV +++ |
| 59 | Sept. 13 | Sept. 18 | Sept. 19 | Pn. IV +++ B. inf. + | Bronchopneumonia with long drawn out course. Died Oct. 4 | Lobular pneumonia, with clustered abscesses. Bronchiectasis | H.B. sterile Br. B.inf. +++ Staph. ++ R.L. no growth. |
| 50 | Sept. 14 | Sept. 17 | Sept. 18 | Pn. IV +++ | Mild bronchopneumonia improving on Sept. 24. On Sept. 26 became suddenly worse and died on Sept. 30 | Nodular and confluent lobular pneumonia. Purulent bronchitis | H.B. sterile Br. B.inf. +++ Staph + R.L. Pn. II +++ B.inf. + L.U. Pn. II +++ |
| 56 | Sept. 10 | Sept. 17 | Sept. 18 | Pn. IIa +++ | Bronchopneumonia with recovery by crisis on Sept. 19. Developed a second attack of pneumonia and died Sept. 29 | Confluent lobular pneumonia | H.B. Pn. II Br. Pn. II +++ B.inf. ++ L.L. Pn. II +++ B.inf. + |
| 107 | Sept. 27 | Sept. 29 | Oct. 1 | Pn. IV +++ B. inf. + Staph. + | Diffuse bronchitis and severe bronchopneumonia. Died Oct. 5 | Confluent lobular pneumonia with clustered abscesses. Pur. bronchitis and bronchiectasis | H.B. sterile R.L. Pn. III ++ Staph. ++ L.L. Staph. ++ |
| 92 | Sept. 23 | Sept. 28 | Oct. 1 | B. inf. +++++ Pn. IV +++ S. hem. 2 col. | Severe bronchopneumonia with empyema. Died Oct. 5 | Lobular pneumonia. Empyema. Purulent bronchitis | H.B. S.hem. Br. B.inf. +++ S.hem. +++ R.L. S.hem. +++ B.inf. ++ Emp. S.hem. |
| 99 | Sept. 24 | Sept. 29 | Oct. 1 | B. inf. ++++ Pn. IV ++ S. vir. + | Diffuse purulent bronchitis with bronchopneumonia. Died Oct. 7 | Bronchopneumonia. Purulent bronchitis | H.B. S.hem. Br. B.inf. +++ Lun. S.hem. +++ S.hem. ++ B. inf. + |
| 102 | Sept. 24 | Sept. 28 | Oct. 1 | Pn. IIa +++ B. inf. ++ | Severe bronchopneumonia with empyema. Died Oct. 4 | Lobular pneumonia with interstitial suppuration. Pur. bronchitis. Empyema | H.B. S.hem. Br. B.inf. +++ S.hem. +++ R.L. S.hem. +++ |
| 104 | Sept. 26 | Oct. 1 | Oct. 1 | B. inf. ++++ Pn. IV +++ | Diffuse purulent bronchitis with severe bronchopneumonia. Developed streptococcus empyema. Died Oct. 11 | Nodular bronchopneumonia with interstitial suppuration. Pur. bronchitis and bronchiectasis. Empyema. | H.B. S.hem. R.L. S.hem. ++++ Emp S.hem. |
The cases cited in the preceding paragraph are illustrative examples from a series of over 250 necropsies which are described in another section of this report. They serve to indicate clearly the extent to which mixed and superimposed infections of the lungs may occur in pneumonia following influenza and leave little doubt that a considerable proportion of the deaths from influenzal pneumonia are due to this circumstance.
