BRONCHIOLECTASIS IN CHILDRENWITH REFERENCE TO THE CONDITION KNOWN AS HONEY-COMB LUNG FROM A CLINICAL STANDPOINT1

1909 QJM: Quarterly journal of medicine  
With Plate 13 BRONCHIOLECTASIS in children is not uncommonly found as a sequela to broncho-pneumonia complicating an attack of measles or whooping-cough. That the condition is non-tuberculous is shown by the maintenance of the general nutrition, the marked lowness of the temperature (in many cases the temperature remaining normal), the absence of night sweats and of tubercle bacilli from the sputum, tho negative results to Calmette's reaction, and postmortem examination. In some instances a
more » ... ome instances a secondary tuberculous infection takes place. A REPORT OF FIVE CASES. Case I. E. W., male, aged 1 year, October, 1905. Previous History. Two months previous to admission the child had an attack of diarrhoea and vomiting accompanied by bronchitis. This was followed by measles and pneumonia. From this time the child had had a cough "which had got worse during the last, fortnight. There was no family history of phthisis. On examination the chest was normal in shape and moved equally on the two sides. The apex-beat of the heart was not displaced. Over the right side in front the note was impaired from the third rib, flat at the level of the fourth rib, and dull from below the fifth rib in the axilla and the seventh rib in the scapular line. Vocal resonance and fremitus over this area were increased. The breath-sounds were well heard, also a few crepitations. A few rhonchi were heard over the rest of the lung in front. The temperature was 98-8°F.; pulse-rate, 120 per minute; respirations, 40 per minute. October 16. Tho temperature had risen to 102° F. An aspirating-needle was inserted in the posterior axillary line on the right side and nothing but blood was obtained. October 18. The respirations were very rapid, the rate being 84 per minute, the temperature was 101-8° F., and pulse-rate 168 per minute. On the right side of the chest above the area of impaired resonance some coarse crepitations were heard ; over the dull area in front tho breath-sounds were very loud, high-pitched and echoing in quality, and coarse crepitations were heard. The same condition was found behind. On the left side the lower two-thirds of the chest showed loud crepitations. Marked cyanosis was present. October 26. The physical signs were unchanged, but the temperature had 1 Part of a thesis presented at Oxford University for the M.D. degree. J.M., April, laog] U
doi:10.1093/oxfordjournals.qjmed.a069216 fatcat:73a2ugtk4vgllkmf5capv7cd6i