傅染性疾患の防遏—肺炎 A肺炎双球菌性急性格魯布性肺炎

A. Pneumococeal-Acute Lobare Pneumonia

　I．本病の認知　急性感染で發熱に續いて寒氣を伴ふ急激な發病で屡々胸痛があり通常咳嗽と呼吸困難があるのを特徴とする。子供では發症期に屡々嘔吐と痙攣が起る。Neufeld氏反應と培養試験によつて病原體を證明することが價値がある。未だ他の確定症状が發現しない内にX光線によつて肺の病竈が發見せられることがある。屡々特に子供では肺炎双球菌性肺炎は肺葉性と言ふより寧ろ氣管支性に現はれる。

1. Recognition of the disease…An acute infection characterized by sudden onset with chill followed by fever, often pain in the chest, usually cough and dyspnea. In children, vomiting and convulsions often occur at the onset. Identification of the infecting microorganism by the Neufeld reaction and cultural examination is valuable. The X-ray may disclosse pulmonary lesions prior to the other evidences of consolidation. Not infrequently and especially in children pneumococcal pneumonia may appear of bronchial rather than lobar type.