The Lumleian lectures on some moot point in the pathology and clinical history of pneumonia : delivered before the Royal College of Physicians of London on May 30th and June 4th and 6th, 1912 / by Percy Kidd.
- Kidd, Percy
- Date:
- [1912]
Licence: In copyright
Credit: The Lumleian lectures on some moot point in the pathology and clinical history of pneumonia : delivered before the Royal College of Physicians of London on May 30th and June 4th and 6th, 1912 / by Percy Kidd. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
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![Termination in Fibrosis—Organizing Pneumonia. On this question opinion has been divided. Some authors hold that the pneumonia which is followed by induration is always a special form which differs from the ordinary sthenic type. Others consider that lobar pneumonia of the classical kind may in exceptional instances undergo fibrosis. The first view, which was advocated more especially by Wagner and Heitler, seemed to me to be supported by a case 1 published some' years ago under the title of Sub-acute Indurative Pneumonia [17]. Case 1.—In this case, that of a man, aged 44, the illness began with sudden chills, weakness, and cough, but the patient was only confined to bed for two days, though ailing from the first and complaining of cough, expectoration, night sweats, and dyspnoea. Death took place about four months after the onset. The patient had been a drinker. Post mortem the right lung was solid and firm through- out, the upper lobe of pale grey colour, with irregular pigmentation, the lobules being clearly marked out in places. Towards the apex there were two small cavities surrounded by softened lung tissue. The lower lobe was red, granular on section, and softer than the upper lobe. No dilated tubes. Microscopical examination showed fibrinous plugs in the alveoli, surrounded by a delicate capsule of young connective tissue containing scanty capillary blood-vessels. Only very slight interstitial thickening was present. The solid grey lung showed a more advanced condition of the same process, the fibri nous plugs having been almost entirely converted into fibro-cellular tissue containing numerous capillary vessels. The interstitial thickening was more pronounced than in the red parts, but was relatively slight, and the outlines of the alveoli could generally be made out. I was unable to detect the presence of any microbes myself, but Dr. Turnbull has been kind enough to](https://iiif.wellcomecollection.org/image/b21353487_0046.jp2/full/800%2C/0/default.jpg)
