T. H. Buckler strongly recommends its treatment with salicylate of sodium and fresh lemon-juice.56
56 Phila. Med. News, 1882, xl. p. 652.
Phenic acid, boracic acid, and the salicylates are highly recommended by many as the best drugs in the antiseptic treatment.
CATARRHAL PNEUMONIA.
BY WILLIAM PEPPER, M.D., LL.D.
SYNONYMS.—Broncho-pneumonia; Lobular pneumonia. Although numerous other names have been used to designate this affection, it is undesirable to perpetuate them.
DEFINITION.—Catarrhal pneumonia is an inflammation of the parenchyma of the lungs, frequently bilateral, and affecting scattered groups of lobules, which may, however, coalesce, so that considerable areas of lung-tissue become continuously involved. This anatomical distribution explains the name lobular as opposed to that of the lobar or croupous form. As implied by its other titles, it has close associations with bronchial catarrh, and occurs nearly always either as an extension of inflammation from the larger tubes or in connection with capillary bronchitis. In consequence, it is often combined with pulmonary collapse, with which latter condition it was until recently confounded. The affected areas show lesions of the bronchioles, together with a morbid product filling the alveoli, and consisting in varying proportion of altered epithelial cells from the alveolar walls, of cells drawn by aspiration from the bronchioles, and of exudation from the blood-vessels. Catarrhal pneumonia may be circumscribed or diffuse, and acute, subacute, or chronic. Its course and duration vary greatly: at times it terminates fatally in a few days, or runs a lingering chronic course, while recovery rarely occurs in less than fourteen days. The mortality is always considerable, and it acquires additional gravity from its tendency to leave behind it organic lesions of the lungs or even to induce phthisis.