Download or read book Acute Lobar Pneumonia written by Oswald Avery and published by Createspace Independent Publishing Platform. This book was released on 2017-01-14 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Avery, Chickering, Cole and Dochez have been doing wonderful work in the study of pneumonia. Their monograph on the subject, No. 7, Rockefeller Institute of Medical Research, is a masterpiece. In discussing the etiologic diagnosis they observe that since it is now known that certain cases of pneumonia may be successfully treated with the serum of immune animals, provided that the organism used in preparing the serum is identical with that causing the infection, etiologic diagnosis becomes imperative. Practical and quite rapid methods have now been devised for the detection of the organism causing the disease. even for the differentiation of the specific types of pneumococci. This etiologic diagnosis is, however, not only of importance in relation to serum therapy, but has an important bearing on prognosis and is essential for acquiring knowledge concerning the epidemiology of this disease. For the determination of the etiologic agent in cases due to other organisms than pneumococcus, the same general methods are applicable as in cases due to pneumococcus. In certain cases, as those due to Friedlander's bacillus, streptococcus, or staphylococcus, the microscopic examination of the sputum gives much information and cultures of the sputum made on agar plates may show a great predominance of the organisms causing the disease. When the sputum from these cases is inoculated into a mouse these organisms outgrow the ordinary mouth saprophytes just as do pneumococci. Blood cultures from the patient, when positive give, of course, clear evidence as to the nature of the infection. In the cases due to pneumococcus it is important not only to determine that the infection is due to this bacterium, but it is also of prime importance to determine the specific type of pneumococcus causing the infection, since treatment with serum is only applicable in the cases due to type I organisms. The authors give a careful description of the various procedures employed in the isolation of pneumococci and determination of the specific types. The types of the pneumococcus are determined by the agglutination or precipitation methods, although type III can be identified morphologic and cultural differences. There is also explained the determination of types of pneumococcus in blood cultures, spinal fluids, empyema fluids and by lung puncture, and by means of specific precipitin reaction in the urine. -Medical Times, Vol.46