B. THE RELATION OF THE TYPE OF ORGANISM TO PLEURAL INVOLVEMENT

The hemolytic streptococcus has been found frequently in association

with purulent pleural effusions in influenza, Thomas (146), Stone and

Swift (138), Ely et al (37); and Goodpasture (48) has suggested an

etiologic relationship between the type of effusion and the infecting

organism in influenza, as has been brought forward for the similar

post-measles empyema in the army camps. At the New Haven Hospital the

Streptococcus hemolyticus was found frequently in non-fatal empyema.

However, at post-mortem examination the frequency of this organism in

pleural effusions of various types was no greater than that of several

other organisms, but it occurred in the only two cases of frank empyema

of this series. (See Table No. II.)

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