FIG. XLIX. AUTOPSY NO. 122. HIGHER POWER ILLUSTRATION OF EPITHELIAL PROLIFERATION AS ILLUSTRATED IN FIGURE [XLVIII].
FIG. LII. AUTOPSY NO. 107. THROMBUS ASSOCIATED WITH AN ACUTE INFLAMMATION IN THE WALL OF A PULMONARY ARTERIOLE.
FIG. L. AUTOPSY NO. 209. BRONCHIECTATIC CAVITIES AT THE BASE OF A LUNG. THE HISTOLOGY OF THIS LESION IS ILLUSTRATED IN FIGURE [XII].
| TABLE III.—Bacteriology in Relation to the Pneumonia. | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Acute Fulminating (34) | Necrotizing (36) | Organizing (12) | (82) | |||||||||||||
| Lo-bar | Pseu-do-lo-bar | Per-i-bron-chi-al | Lob-u-lar | To-tal | Lo-bar | Pseu-do-lo-bar | Per-i-bron-chi-al | Lob-u-lar | To-tal | Lo-bar | Pseu-do-lo-bar | Per-i-bron-chi-al | Lob-u-lar | To-tal | To-tal | |
| Strep. hemolyticus | 1 | 4 | 5 | 4 | 4 | 1 | 1 | 2 | 11 | |||||||
| Strep. hemolyticus and Pneumococcus II | 0 | 0 | 1 | 1 | 2 | 2 | ||||||||||
| Strep. hemolyticus and Pneumococcus IV | 1 | 1 | 1 | 1 | 0 | 2 | ||||||||||
| Strep. hemolyticus and Pneumococcus IV and staphylococci | 0 | 0 | 1 | 1 | 1 | |||||||||||
| Strep. hemolyticus and Strep. non-hemolyticus | 1 | 1 | 0 | 0 | 1 | |||||||||||
| Strep. hemolyticus and B. influenzæ | 1 | 1 | 2 | 0 | 0 | 2 | ||||||||||
| Strep. hemolyticus, B. influenzæ and Strep. non-hemolyticus | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. hemolyticus, B. influenzæ and staphylococci | 0 | 0 | 1 | 1 | 1 | |||||||||||
| Strep. hemolyticus and staphylococci | 2 | 2 | 2 | 2 | 1 | 1 | 2 | 6 | ||||||||
| Strep. hemolyticus and M. catarrhalis | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. hemolyticus, M. catarrhalis and B. mucosus capsulatus | 1 | 1 | 0 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus | 3 | 3 | 1 | 1 | 0 | 4 | ||||||||||
| Strep. non-hemolyticus, Pneumococcus II and staphylococci | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus, Pneumococcus IV and staphylococci | 1 | 1 | 0 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus and staphylococci | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus and B. mucosus capsulatus | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus and M. catarrhalis | 1 | 1 | 0 | 0 | 1 | |||||||||||
| Strep. non-hemolyticus and diphtheroids | 1 | 1 | 0 | 0 | 1 | |||||||||||
| Strep. mucosus capsulatus | 0 | 0 | 1 | 1 | 1 | |||||||||||
| Strep. “viridans” and Pneumococcus IV | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Strep. “viridans,” Pneumococcus IV and staphylococci | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Pneumococcus Type II | 3 | 3 | 1 | 1 | 0 | 4 | ||||||||||
| Pneumococcus Type III | 4 | 4 | 1 | 1 | 0 | 5 | ||||||||||
| Pneumococcus Type IV | 2 | 2 | 1 | 1 | 2 | 0 | 4 | |||||||||
| Pneumococcus (Type undetermined) | 3 | 3 | 3 | 3 | 0 | 6 | ||||||||||
| Pneumococcus Type II and B. influenzæ | 1 | 1 | 0 | 1 | 1 | 2 | ||||||||||
| Pneumococcus Type II and B. mucosus capsulatus | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Pneumococcus Type II and staphylococci | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Pneumococcus Type III and B. influenzæ | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Pneumococcus Type III and staphylococci | 0 | 0 | 1 | 1 | 1 | |||||||||||
| Pneumococcus Type IV and B. influenzæ | 2 | 2 | 3 | 3 | 6 | 0 | 8 | |||||||||
| Staphylococci | 0 | 0 | 1 | 1 | 1 | |||||||||||
| Staphylococci and B. influenzæ | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Staphylococci, B. influenzæ and M. catarrhalis | 0 | 1 | 1 | 0 | 1 | |||||||||||
| B. influenzæ and Pneumococcus (Type undetermined) | 0 | 2 | 2 | 0 | 2 | |||||||||||
| B. influenzæ and a pleomorphic diplococcus | 0 | 1 | 1 | 0 | 1 | |||||||||||
| Enterococcus | 1 | 1 | 0 | 0 | 1 | |||||||||||
The type of the pneumonic process, as well as the invading organism, has varied widely in different localities. From the foregoing brief survey, it will be seen that before the associations suggested above can be proven, much more definite evidence must be presented.
An attempt has been made to correlate the bacteriological findings in this series with the distribution and type of pneumonic process. These are tabulated in Table III. It will be seen at a glance that no relationship is demonstrable between the type of single or associated organisms and the distribution of the pneumonia, whether it is lobar, pseudolobar, peribronchial or lobular and whether acute fulminating, necrotizing or organizing. (See Table No. [III].)