Epidemic Respiratory Disease / The pneumonias and other infections of the repiratory tract accompanying influenza and measles

by Eugene L. Opie; Francis G. Blake; Thomas M. Rivers; James C. Small

Case 98, O. McN. Onset of measles, Sep. 19; admitted to hospital Sep. 21; onset of bronchopneumonia, Oct. 21; of empyema, Oct. 23. Recovered from pneumonia; convalescent in empyema ward.

Bacteriology.—1. Throat culture for: (a) S. hem.: Sep. 21, −; 28, −; Oct. 9, −; 20, −; 23, +; Nov. 2, −; 9, −; 15, −; (b) B. influenzæ: Sep. 21, +; 28, −; Oct. 9, +. 2. Pleural fluid (culture) S. hem. Oct. 23, +.

Case 141, J. G. G. Autopsy No. 438. Onset of measles, Sep. 28; admitted to hospital, Oct. 1; onset of bronchopneumonia, Oct. 6; of otitis media (bilateral), Oct. 12; died, Oct. 18.

Bacteriology.—1. Throat culture for: (a) S. hem., Oct. 2, −; 6, −; 8, −; (b) B. influenzæ, Oct. 2, −; 6, +; 8, +. 2. Autopsy cultures: Heart blood, negative; left lung, Pneumococcus II atypical, B. influenzæ and S. viridans; right lung, S. hem. and B. influenzæ; right bronchus, S. hem. and B. influenzæ.

Case 147, S. W. Autopsy No. 442. Onset of measles, Oct. 1; admitted to hospital, Oct. 2; onset of bronchopneumonia, Oct. 17, with chill and rapid development; died, Oct. 18.

Bacteriology.—1. Throat culture for: (a) S. hem., Oct 2, −; 9 −; 15, −; 18, +; (b) B. influenzæ, Oct. 2, −; 9, −; 15, −; 18, −. 2. Autopsy cultures: Heart blood, S. hem.; right main bronchus, S. hem. and B. influenzæ.

Case 281, T. M. Onset of measles, Oct. 6; admitted to hospital Oct. 9; onset of bronchopneumonia, Oct. 21; of empyema, Oct. 23; recovered from pneumonia; convalescent in empyema ward.

Bacteriology.—1. Throat culture for: (a) S. hem., Oct. 10, −; 20, −; 24, +; Nov. 2, +; 9, +; 15, +; (b) B. influenzæ, Oct. 10, −; 20, +. 2. Culture from pleural fluid, Oct. 23, S. hem.

Case 285, J. H. Onset of measles, Oct. 4; admitted to hospital, Oct 9; onset of lobar pneumonia, Oct. 29; of empyema, Nov. 9; convalescent in empyema ward.

Bacteriology.—1. Throat cultures for: (a) S. hem., Oct. 11, −; 20, −; 24, +; 29, −; Nov. 2, −; 9, −; (b) B. influenzæ, Oct. 11, −. 2. Cultures from pleural fluid, Nov. 9 and 13, S. hem.