MEDICAL - PATHOLOGY

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP80-00809A000600221008-8
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RIPPUB
Original Classification: 
S
Document Page Count: 
3
Document Creation Date: 
December 22, 2016
Document Release Date: 
June 28, 2011
Sequence Number: 
1008
Case Number: 
Publication Date: 
May 12, 1949
Content Type: 
REPORT
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PDF icon CIA-RDP80-00809A000600221008-8.pdf254.99 KB
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Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8 CLASSIFICATION SE(AU CENT . INTELLIGENCE AGENCY INFORMATION FROM FOREIGN DOCUMENTS OR RADIO BROADCASTS CD NO. COUNTRY Russia SUBJECT Ne,dical ? Pathology HOW PUBLISHED Weekly newspaper WHERE PUBLISHED Moscow DATE PUBLISHED 13 Apr 1949 LANGUAGE Russian DATE OF INFORMATION 1949 DATE DIST. 42-May 1949 NO. OF PAGES 3 SUPPLEMENT TO REPORT NO. THIS IS UNEVALUATED INFORMATION Prof D. Roseiyskiy Honored Worker of Science Pneumonia is a diwease which most frequently oamplicates in."luenzal oases. The influenzal viruses cause hyperemia of the bronchial passages and of the pulmonary parenchyma accompanied by traumatic conditions of the vascular walls and by hemorrhage. Such conditions increase the vital activity of various microbes, such as pnemmocMOus, Pfeiffer'e bacillus, streptococcus, etc., and increase the possibility of contracting pneumonia. Pneumonia of such etiology frequently develops into the hemorrhagic type and Is characterized by hemoptysts. Preliminary examinations during the Initial stage disclose no pulmonary deganerations. It is possible, however, to ausculate weak crepitatione in the lungs. With further development of pneumonia, the patient tussiouilatee and develops definite dyspot.ea. Expectoration per- sista, leading to pyoptysis and, frequently, to hemoptysis. It must be noted, however, that in many cases the exact source of the crepitation is impossible to determine. Many specialists failed to deter- mine the source even with the- aid of bron:hcphonss on the basis of bronchial respiration. It is possible to determine the nidus with the gr9dual progress in the individual case. Inf!uenzal pneumonia diffuses veiy rapidly in the lung and adny cases, having only a few nidi in the morning, develop a general infection of the lunge by the same evaair3. The acute stages of pneumonia frequently coincide with the onset of influenzal .omplication. This co:idition is usually seen following 'luv initial drop in temperature, or 4 or 5 days after the onsei, of the ,i.+sease. The clinical picture of influenzal pneumonia cases is very eizzilar to that of cases afflicted with acute pnemoris. - 1 - rT CLPSSIFICATION E f stall MW Nine DIStRIBUI1ON A-MY M Al:c Fel - -------- Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8 Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8 The course oY the d iseaseis usually slow and takes ? or 4, if not more, weeks before any improvement can be seen and before the tempera- ture commences to drop. However, in weakened cases and in aged persons, pneumonia is liable to linger for several months. In such cases there is the additional danger of tubercular development. The progress of pneu- monia in aged persons is sometimes unaccompanied by the usual symptoms; many with the disease have no tussis or abnormal expectoration and have subnormal or even normal temperature. Physical examinations result in the detection of scattered sources of muffled sound, bronchial respiration, and crepitation. In recent years, several atypical forms of influenzal pneumonia have been encountered. These include those having virus etiology, such as peripheral or central pneumonia, with a characteristic morphological and clinical picture. The microorganisms invade the interior of the lobes or are localized on the p^riphery of the lungs. These types of pneumonal afflictions are serious and are frequantly the initial stage and not the secondary stage, of influenza. Physical symptoms are insignificant and the few who are examined cannot be diagiosed by roentgenological exsminatior-e. In the majority of the cae3e there is a light crepitation. Patients afflicted with peripheral and central nneumnnIa.be nme tuasicular and frequently develop hemoptysis. They also complain of cephalalgia and fever. In the intial stage of this disease the tussle are espentorated. Microscopic eXamination shove the presence of Aiplococcus, frequently very d-'ffionlt'to aet',rmine and the only metaou of diagnosis of graphic picture. For example, vnen a patient indicates cropitation and bronoh3.al respiration, roentgenograms show no histologic changes in the lungs. Frequently, when there is no clinical symptom and an absence of intoxication, the roentgenograms remain unchanged for a long period of time. All that can be recommended is that cases whose roentgenograms show persist- ent shadows should be confined to bed until the infective nidue subaides. Severe cases of influental infection of z septic character may produce specific roentgenograms somewhat similar to disseminated tuberculosic or miliary caroinoamtosis. Actually, therefore, roentgenogram eerre only to locate the site of pnetuoonal infection. which is too deeply seated to be determined by 1.ercussible or aurculatory methods. Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8 Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8 Iniluenzal pneumonia can be complicated by interlobular infection, pulmonary abscesses, and, in some cases, even pulmonary gangrene. Long series of studies shoved that in pneumonal cases complicated with in- f iuenzal infection, it is not uncommon to find abscessed conditions. Ausculatatory methods are ineffective in the diagnosis of small 'aultiple pulmonary abscesses. When an influenza) pneumonia case succumbs in one to 3 days after the onset of the disease, it is safe to assume that pneumonia has been present for several months. pneumonia case, registering no febrile temperature. The infective process generally commences in the lower regions of the lunge and is strictly local- ized. Infrequently there is an increased crepitation caused by the friction of the pleura. However, an analysis of the blood indicates a high white count and an increase in the polymorphonuclear neutrophilic leukocyte count. More often than not, influenzal pneumonia is complicated by pleurisy which mr y be bilateral, dry, fibrinous, serous, suppura'ira, or hemorrhagic. Snifemide m.eperatIo a were edminietarev to cases with irftetenv!al pneumonia in 1943, 1944, and 1946. These primary sulfemide compounds were suifathiazol and sulfadiazine which were gi'en together with urotropic compounds. However, in the past year there vere many who reacted nega- tively to sulfamide compounds and many cases indicated no favor:-ble re- action to penicillin administrations. Due to the morbid action of thr, virus of influenza on the cardiovascular system, It is vital that We systfsa be stimulated during the early stage of the disease. Administration of such substances as camphor or caffeine is recommended. Immediately following an irritation of the respiratory tracts which causes tussle, it is necessary to administer such narcotics as codeine, dionin, Dover's powder, as well as hot milk with alkaline admixtures. For vet crepitation, the administration of ipecacuanha, eenege, thera?psie, or marshmallow root Is recommended. Prompt medication is recommended because harsh expectoration may lead to hemoptyais due to the hematologic condition. It ilea been noticed, particularly in cases indicating fever, that the temnereture decreases after the cessation of tussle and =cold and prrulant expectoration. Favorable rebulte in lowering the temperature have been ob- tained with heavy dosages of streptoolde, 0.3 grams, up to six times a day. Subcutaneous administration of camphor produced favorable results in in- fluenzal cases complicated with capillary bronchitis or pneumonia. Examinations shoved. that with the formation of lesions, as much as 300 cc of 1,10*' may flood the lungs and cut the oxyger. intake in the lung tissue. In Tier of the severity of this diaerse, which lovers the to :us of the cardiovascular system, it is recommended that patients, after their recovery, remain for some time under the observation and care of a physician. One more word of warning. Influenza) pneumonia, even in a very mild form, is highly contagious and acts as the basis for possible development of any one of several serious and possibly fatal diseases. 50X1-HUM Sanitized Copy Approved for Release 2011/06/28: CIA-RDP80-00809A000600221008-8