A GROUP OF SIXTY-EIGHT CASES OF TYPE I PNEUMONIA OCCURRING IN THIRTY DAYS AT CAMP UPTON

CHARLES F. TENNEY
1919 Archives of internal medicine (Chicago, Ill. : 1908)  
135 cases of pneumonia were admitted to the Base Hospital; of this number, 50 per cent., or sixty-eight cases, were diagnosed bacteriologically as having type I pneumococcus the predominating organism in their infection. This small epidemic was practically confined to colored troops, only four out of the sixty-eight cases affecting white men. These troops embarked from Brest, sailing to New York, and were then transferred to Camp Upton for demobilization. On entering the hospital they presented
more » ... ital they presented the picture of acute lobar pneumonia. The classical signs were present in all, and only differed in the intensity of their symptoms. Starting with a chill \p=m-\ pain in the affected side, grunting respiration, with dilating alae nasi completed the picture, of this type of disease. The early sputum was blood streaked ; later it became prune juice in color. Dulness over the affected area became an early sign, and this was associated with bronchial and tubular breathing which increased with intensity as the dulness increased. The vocal fremitus was marked and we soon saw that we were dealing with acute lobar pneumonia. There had been only eighteen cases of type I pneumonia during the influenza epidemic, and this group of cases was considered a fertile field for a thorough test of the type I serum as a method of treatment. Over 90 per cent, of these cases presented the picture of healthy seasoned troops, and it was with much interest that we watched the outcome of this method of treatment originated by the Rockefeller Institute and so admirably portrayed in their monograph dated October 16, 1917. We have used this method of treatment in our other cases of type I pneumonia, but they were not many and were distributed more or less irregularly throughout the different seasons of the year.
doi:10.1001/archinte.1919.00090280076008 fatcat:q7bcc52b7vfjben7weytknqbiy