The pathology of influenza

by M. C. Winternitz; Frank P. McNamara; Isabel M. Wason

TABLE OF CONTENTS

					Page
Introduction					[9]
I.	The Pathology of the Respiratory Tract in Influenza				[13]
		(A) Lesions of the Trachea and Bronchi			[13]
				(a) Gross Picture	[13]
				(b) Histological Picture	[14]
				(c) Summary	[16]
		(B) Lesions of the Lung			[16]
			(1) Acute Diffuse Fulminating Type		[18]
				(a) Gross Picture	[18]
				(b) Summary	[19]
				(c) Histological Picture	[20]
				(d) Summary	[22]
			(2) Localization and Necrotization of the Pneumonic Process		[22]
				(a) Gross Picture	[22]
				(b) Histological Picture	[24]
				(c) Summary	[26]
			(3) Organization of the Bronchiolar and Pneumonic Processes		[26]
				(a) Illustrative Protocols	[27]
				(b) Summary	[30]
II.	Influence of the Respiratory Complications of Influenza upon Tuberculosis of the Lung				[32]
				(a) Illustrative Protocols	[32]
				(b) Summary	[33]
III.	Extrarespiratory Lesions in Influenza				[34]
		(A) Lesions of the Hematopoietic System			[34]
				(a) Lymphadenoid Tissue	[34]
				(b) Spleen	[35]
				(c) Bone Marrow	[35]
		(B) Lesions of the Blood Vessels and Elsewhere in the Body			[36]
				(a) Vascular System	[36]
				(b) Skeletal System	[36]
				(c) Parenchymatous Organs	[36]
				(d) Alimentary Canal	[37]
				(e) Urinary Bladder	[37]
		(C) Miscellaneous Lesions			[38]
				(a) Parenchymatous Organs	[38]
				(b) Jaundice	[39]
				(c) Central Nervous System	[39]
				(d) The Pregnant Uterus	[39]
				(e) Summary	[39]
IV.	A Comparison between the Respiratory Lesions of Influenza and those Initiated by the Inhalation of Poisonous Gases with Special Reference to:—				[40]
		(A) The Inflammatory Response versus the Systemic Capacity to Compensate			[40]
		(B) The Primary Injury			[41]
		(C) The Tendency to Organization of Bronchiolar and Alveolar Exudates with Bronchiolitis and Bronchiolectasis as Sequelæ			[42]
		(D) The Importance of the Trachea and its Ramifications as a Protective Mechanism against Infection of the Pulmonary Parenchyma			[42]
V.	Peculiarities of the Histology of Influenzal Pneumonia				[44]
		(A) The Extent of the Initial Pulmonary Lesion			[44]
		(B) The Hemorrhagic Exudate—The Relation of Red to Grey Hepatization			[44]
		(C) The Aplastic Exudate			[45]
		(D) The Hyaline Necrosis of the Pulmonary Tissue			[46]
		(E) The Organization Process			[46]
VI.	Infection as a Possible Etiological Factor for Malignant New Growths				[48]
VII.	The Bacteriology of Influenzal Pneumonia				[49]
		(A) Organisms Associated with Influenzal Pneumonia			[49]
		(B) The Relation of the Type of Organism to Pleural Involvement			[50]
		(C) The Relation of Different Organisms to the Type of Pneumonia			[50]
		(D) Summary and Discussion			[54]
VIII.	Conclusions				[55]
IX.	Bibliography				[56]
X.	Illustrations				[63]

FIG. II. AUTOPSY NO. 98. DRAWING OF A SECTION THROUGH A TRACHEA SHOWING NECROTIZING HEMORRHAGIC INFLAMMATORY PROCESS OF THE MUCOSA.