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ULCERATIVE TRACHEOBRONCHITIS FOLLOWING ATYPICAL PNEUMONIA: REPORT OF CASES

ULCERATIVE TRACHEOBRONCHITIS FOLLOWING ATYPICAL PNEUMONIA: REPORT OF CASES Abstract It is no longer felt that atypical (viral) pneumonia is always as innocuous as it was originally described. Many patients have experienced recurring episodes of this disease over a period of several years. In some the symptoms have continued unabated; a productive cough has developed, and the presence of bronchiectasis has been confirmed by bronchographic examination. Other patients have had residual ulcerative tracheobronchitis associated with hemoptysis and production of sputum. These patients may show roentgenographic evidence of bronchial and bronchiolar dilatation and occlusion, atelectasis or obstructive emphysema. In others the convalescence has been prolonged and characterized by neurasthenia, chronic cough, production of sputum, pain in the chest, generalized weakness, easy fatigability, occasional hemoptysis, loss of weight or failure to regain previous weight lost, elevated sedimentation rate and low grade fever. Twenty-nine of 150 patients having bronchoscopic examinations during the first six months of 1944 were found to have ulcerative lesions References 1. Haight, W. L., and Trolinger, J. H.: Primary Atypical Pneumania, Etiology Unknown , U. S. Nav. M. Bull. 41:988-1000 ( (July) ) 1942. 2. Dingle, J. H.; Abernethy, T. J.; Badger, G. F.; Buddingh, G. J.; Teller, A. E.; Langmuir, A. D.; Ruegsegger, J. M., and Wood, B. W.: Primary Atypical Pneumonia, Etiology Unknown , War Med. 3:223-248 ( (March) ) 1943. 3. Zimmerman, J. J.: Viral Pneumonia , Am. J. Nursing 43:141-144 ( (Feb.) ) 1943. 4. Smiley, D. J.; Showacre, E. C.; Lee, W. F., and Ferris, H. W.: Acute Interstitial Pneumonitis: A New Disease Entity , J. A. M. A. 112:1901-1904 ( (May 13) ) 1939.Crossref 5. Murray, M. E., Jr.: Atypical Bronchopneumonia of Unknown Origin , New England J. Med. 222:565-573 ( (April 4) ) 1940.Crossref 6. Suttenfield, F. D.: Primary Atypical Pneumonia (Virus Pneumonia) , Mil. Surgeon 93:360-364 ( (Oct.) ) 1943. 7. Grieco, E. H.; Cove, A. M., and Klein, E. C.: Pneumonia: A Survey of One Hundred and Six Cases , Mil. Surgeon 93:364-367 ( (Oct.) ) 1943. 8. McCarthy, P. V.: Primary Atypical Pneumonia of Unknown Etiology , Radiology 40:344-346 ( (April) ) 1943.Crossref 9. van Ravenswaay, A. C.; Erickson, G. C.; Reh, E. P.; Siekierski, J. M.; Pottash, R. R., and Gumbiner, B.: Clinical Aspects of Primary Atypical Pneumonia , J. A. M. A. 124:1-6 ( (Jan. 1) ) 1944.Crossref 10. Reimann, H. A.: An Acute Infection of the Respiratory Tract with Atypical Pneumonia: Disease Entity Probably Caused by a Filtrable Virus , J. A. M. A. 111: 2377-2384 ( (Dec. 24) ) 1938.Crossref 11. Reimann, H. A.; Havens, W. P., and Price, A. H.: Etiology of Atypical ("Virus") Pneumonias , Arch. Int. Med. 70:513-522 ( (Oct.) ) 1942.Crossref 12. Reimann, H. A.: Viral Pneumonias , Bull. New York Acad. Med. 19:177-181 ( (March) ) 1943. 13. Kneeland, Y., and Smetana, H. F.: Current Bronchopneumonia of Unusual Character and Undetermined Etiology , Bull. Johns Hopkins Hosp. 67: 229-268 ( (Oct.) ) 1940. 14. Correll, H. L., and Cowan, I. I.: Primary Atypical Pneumonia , U. S. Nav. M. Bull. 41:980-987 ( (July) ) 1943. 15. Hufford, C. E., and Applebaum, A. A.: Atypical Pneumonia of Probable Virus Origin , Radiology 40:351-359 ( (April) ) 1943.Crossref 16. Longcope, W. T.: Bronchopneumonia of Unknown Etiology (Variety X) , Bull. Johns Hopkins Hosp. 67:268-305 ( (Oct.) ) 1940. 17. Smiley and others. 1d 18. Grieco, Cove and Klein.1g 19. Kay, E. B.: Bronchiectasis Following Atypical Pneumonia , Arch. Int. Med. 75:89-104 ( (Feb.) ) 1945.Crossref 20. Blades, B., and Dugan, D. J.: Pseudo Bronchiectasis Following Atypical Pneumonia , Bull. U. S. Army M. Dept. , November 1943, no. (70) , pp. 60-68. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

ULCERATIVE TRACHEOBRONCHITIS FOLLOWING ATYPICAL PNEUMONIA: REPORT OF CASES

Archives of Internal Medicine , Volume 76 (2) – Aug 1, 1945

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Publisher
American Medical Association
Copyright
Copyright © 1945 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1945.00210320033004
Publisher site
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Abstract

Abstract It is no longer felt that atypical (viral) pneumonia is always as innocuous as it was originally described. Many patients have experienced recurring episodes of this disease over a period of several years. In some the symptoms have continued unabated; a productive cough has developed, and the presence of bronchiectasis has been confirmed by bronchographic examination. Other patients have had residual ulcerative tracheobronchitis associated with hemoptysis and production of sputum. These patients may show roentgenographic evidence of bronchial and bronchiolar dilatation and occlusion, atelectasis or obstructive emphysema. In others the convalescence has been prolonged and characterized by neurasthenia, chronic cough, production of sputum, pain in the chest, generalized weakness, easy fatigability, occasional hemoptysis, loss of weight or failure to regain previous weight lost, elevated sedimentation rate and low grade fever. Twenty-nine of 150 patients having bronchoscopic examinations during the first six months of 1944 were found to have ulcerative lesions References 1. Haight, W. L., and Trolinger, J. H.: Primary Atypical Pneumania, Etiology Unknown , U. S. Nav. M. Bull. 41:988-1000 ( (July) ) 1942. 2. Dingle, J. H.; Abernethy, T. J.; Badger, G. F.; Buddingh, G. J.; Teller, A. E.; Langmuir, A. D.; Ruegsegger, J. M., and Wood, B. W.: Primary Atypical Pneumonia, Etiology Unknown , War Med. 3:223-248 ( (March) ) 1943. 3. Zimmerman, J. J.: Viral Pneumonia , Am. J. Nursing 43:141-144 ( (Feb.) ) 1943. 4. Smiley, D. J.; Showacre, E. C.; Lee, W. F., and Ferris, H. W.: Acute Interstitial Pneumonitis: A New Disease Entity , J. A. M. A. 112:1901-1904 ( (May 13) ) 1939.Crossref 5. Murray, M. E., Jr.: Atypical Bronchopneumonia of Unknown Origin , New England J. Med. 222:565-573 ( (April 4) ) 1940.Crossref 6. Suttenfield, F. D.: Primary Atypical Pneumonia (Virus Pneumonia) , Mil. Surgeon 93:360-364 ( (Oct.) ) 1943. 7. Grieco, E. H.; Cove, A. M., and Klein, E. C.: Pneumonia: A Survey of One Hundred and Six Cases , Mil. Surgeon 93:364-367 ( (Oct.) ) 1943. 8. McCarthy, P. V.: Primary Atypical Pneumonia of Unknown Etiology , Radiology 40:344-346 ( (April) ) 1943.Crossref 9. van Ravenswaay, A. C.; Erickson, G. C.; Reh, E. P.; Siekierski, J. M.; Pottash, R. R., and Gumbiner, B.: Clinical Aspects of Primary Atypical Pneumonia , J. A. M. A. 124:1-6 ( (Jan. 1) ) 1944.Crossref 10. Reimann, H. A.: An Acute Infection of the Respiratory Tract with Atypical Pneumonia: Disease Entity Probably Caused by a Filtrable Virus , J. A. M. A. 111: 2377-2384 ( (Dec. 24) ) 1938.Crossref 11. Reimann, H. A.; Havens, W. P., and Price, A. H.: Etiology of Atypical ("Virus") Pneumonias , Arch. Int. Med. 70:513-522 ( (Oct.) ) 1942.Crossref 12. Reimann, H. A.: Viral Pneumonias , Bull. New York Acad. Med. 19:177-181 ( (March) ) 1943. 13. Kneeland, Y., and Smetana, H. F.: Current Bronchopneumonia of Unusual Character and Undetermined Etiology , Bull. Johns Hopkins Hosp. 67: 229-268 ( (Oct.) ) 1940. 14. Correll, H. L., and Cowan, I. I.: Primary Atypical Pneumonia , U. S. Nav. M. Bull. 41:980-987 ( (July) ) 1943. 15. Hufford, C. E., and Applebaum, A. A.: Atypical Pneumonia of Probable Virus Origin , Radiology 40:351-359 ( (April) ) 1943.Crossref 16. Longcope, W. T.: Bronchopneumonia of Unknown Etiology (Variety X) , Bull. Johns Hopkins Hosp. 67:268-305 ( (Oct.) ) 1940. 17. Smiley and others. 1d 18. Grieco, Cove and Klein.1g 19. Kay, E. B.: Bronchiectasis Following Atypical Pneumonia , Arch. Int. Med. 75:89-104 ( (Feb.) ) 1945.Crossref 20. Blades, B., and Dugan, D. J.: Pseudo Bronchiectasis Following Atypical Pneumonia , Bull. U. S. Army M. Dept. , November 1943, no. (70) , pp. 60-68.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1945

References

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