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].)