Downloaded from www.ajronline.org by 174.26.253.204 on 10/23/15 from IP address 174.26.253.204. Copyright ARRS. For personal use only; all rights reserved
159
From
H ..
Earlier Pages
.
1
.
The
science
when which
of
roentgenology
one of the world’s probably began
extended
all
over
was
about
great pandemics in China, spread
the
world
in waves
20
years
struck. to Spain from
old
influenza, and then
1 91 8 to
during World War I. Ranking among the three most tive pandemics in world history, influenza stands several reasons. The plagues of the sixth century
1919
destrucout for (during
The
most
important
hemorrhagic 82% of the
feature
pneumonitis. 470 patients
is Dr.
Selby’s
all based results.
on
recovery,
operative
information,
Dr. Selby differentiation
deaths was at least because of the high The low mortality
case of hemorrhagic pneumonia (the usual there was some intrathoracic complication. he was able to establish a reliable prognosis
other less
associated with the others, and thus the better studied. Most of the deaths were monary complications, and most occurred and previously healthy. particularly liable both because:
(1 ) they
medical
cane
panded
use
military
value;
leading, armed
(4)
rapid
technical
patriotism
radiologists
pandemic
was
were study
development
had
to
evoked
offer
a prompt
lured
their
and
many
services
response
The Quarterly Cumulative 38 years old) contains
literature.
(itself
only
ences
on influenza.
references,
and
responded in
than
of
the
to
the
forces.
The
of
of
and
panic
disease could be the result of pulamong the young
in crowded army camps; (2) their (3) noentgenology was in ex-
provided;
because
expert
pandemics
Many of these individuals to the disease and to careful
were
was
two
rapidly
1 91 9 [1 -3]
The
issue
that
of
and
and
Index Medicus one-third page
of 1 91 8 contains 1 91 9,
published
a long
in the
review
(25
of
1 91 7
of referfive
1 1 pages. three articles
article
medical
pages
pages)
early
on
daily
tions. The
it possible
to detect
if apical
it signaled
of the
40
by
larger
group
hospital,
The tamed who firmly
dotal replaced
and
first
a base
and
most
the
observations
served
at Walter
based description by
hospital
valuable of Reed
on statistics, of a few documented
in France.
of the
John General
an
Hospital.
a departure cases.
four
Selby,
The
statements.
from usual
articles Ohio His
the
[1
]
con-
radiologist report
usual
conjectures
the
Selby’s
the
was
anecwere
fatal
regardless
to a poor
of
prognosis:
if
near
amounts it could
hilum
bore
a
of non to be
pleural
fluid
be pulmonary,
The
a direct
excellent
as all
of the lower at autopsy
of not
complication.
This
the
could involve in the periphery was the last
rapid
spread
relation
article
was
to the
illustrated
of high quality full chest nadiognaphs, of selected individual cases. review article [4], written in collaboration
progress
was
less
clinical of
important
sharply
picture.
physicians
the
directed
It was
contribution of
hemorrhagic
At that
small
pneumonia
disease.
later
description
in every
cause of death) He also thought by the second
lower bonders of this situation
appeared a pleural
reproductions
of the
a naval
density
hemorrhagic
more
hospital,
that
began
made
Characteristically,
army
pneumonia
early:
Harkavy,
an
led
true apex and spared. Proof
with
from
spread
involved, and the lobes were always
thus
permitted loban (pneu-
of pneumonia,
onset
autopsy
remained confined to one side, the disease If the patient survived 7 days, the prognosis in the face of other intrathoracic complica-
hemorrhagic
showing
came
after
he concluded
hazy density that spread rapidly and both lungs within 48 hr. It never began in simultaneous sites. The periphery
[4]. Since the first wave of the epidemic began in the United States in April 1 91 8 and the second wave peaked after October 1 91 8, the articles in May 1 91 9 were timely. they
and
Rapid
the pneumonia was never fatal. was good even
gravity in
film
data.
clinical
and
1 920
pneumonia,
third
the
or
found that nadiologic examination of hemorrhagic pneumonia from
mococcus)
of the
Our Journal (32 pages)
of
occurred in to the x-ray
department in the naval hospital where his observations were made. The patients were followed by daily films made with a mobile x-ray unit, and the observations offered were
Justinian’s reign) and of the 1 4th century (the Black Death) were accompanied by very high mortality in relation to incidence. Conversely, in the influenza pandemic the montality rate was low, (about 2%-3%), but the total number of as great as in the incidence. led to somewhat
description
This complication who were referred
and
apparently
than
radiologists.
had
already
been
course,
and
appearance,
considered directed
to a
Nevertheless,
made
in the
prognosis
of
pneumonia.
time,
ogy,
the
response
was
prompt,
in the
adolescence
to this
thoughtful,
new
and
of the
manifestation
mature.
science
of radiol-
of an old
It was
obvious
disease
that
1 60
FROM
radiology, longer the
as it was a field
family
for
recorded dilettantes,
in the Journal but
EARLIER
in 1 91 9, was
a contributing
member
PAGES
no
eral Hospital,
of
AJR
of medicine.
2. E. Frederick
Lang
Honeij
Downloaded from www.ajronline.org by 174.26.253.204 on 10/23/15 from IP address 174.26.253.204. Copyright ARRS. For personal use only; all rights reserved
.
Selby during
JH: Hemorrhagic pneumonitis. the recent influenza epidemic
Roentgen nay studies at the Walter Reed Gen-
4.
Park,
D.C.
, beginning
July 1979
October
1 , 1918.
1919
Influenza
and
broncopneumonia.
from a noentgenological
A study
point of view. AJR
of the 6:226-
1919
3. Boggs
RH: Complications of influenza from the noentgenologiAJR 6:239-242, 1919 Hankavy J, Selby JH: Influenza pneumonia from a clinical and x-ray study. AJR 7 : 1 09-i 1 6; 1 48-1 65, 1920 cal
1
JA:
epidemic 238,
REFERENCES
Takoma
6 : 2 1 1 -225,
AJR:133,
standpoint.
159
From
H ..
Earlier Pages
.
1
.
The
science
when which
of
roentgenology
one of the world’s probably began
extended
all
over
was
about
great pandemics in China, spread
the
world
in waves
20
years
struck. to Spain from
old
influenza, and then
1 91 8 to
during World War I. Ranking among the three most tive pandemics in world history, influenza stands several reasons. The plagues of the sixth century
1919
destrucout for (during
The
most
important
hemorrhagic 82% of the
feature
pneumonitis. 470 patients
is Dr.
Selby’s
all based results.
on
recovery,
operative
information,
Dr. Selby differentiation
deaths was at least because of the high The low mortality
case of hemorrhagic pneumonia (the usual there was some intrathoracic complication. he was able to establish a reliable prognosis
other less
associated with the others, and thus the better studied. Most of the deaths were monary complications, and most occurred and previously healthy. particularly liable both because:
(1 ) they
medical
cane
panded
use
military
value;
leading, armed
(4)
rapid
technical
patriotism
radiologists
pandemic
was
were study
development
had
to
evoked
offer
a prompt
lured
their
and
many
services
response
The Quarterly Cumulative 38 years old) contains
literature.
(itself
only
ences
on influenza.
references,
and
responded in
than
of
the
to
the
forces.
The
of
of
and
panic
disease could be the result of pulamong the young
in crowded army camps; (2) their (3) noentgenology was in ex-
provided;
because
expert
pandemics
Many of these individuals to the disease and to careful
were
was
two
rapidly
1 91 9 [1 -3]
The
issue
that
of
and
and
Index Medicus one-third page
of 1 91 8 contains 1 91 9,
published
a long
in the
review
(25
of
1 91 7
of referfive
1 1 pages. three articles
article
medical
pages
pages)
early
on
daily
tions. The
it possible
to detect
if apical
it signaled
of the
40
by
larger
group
hospital,
The tamed who firmly
dotal replaced
and
first
a base
and
most
the
observations
served
at Walter
based description by
hospital
valuable of Reed
on statistics, of a few documented
in France.
of the
John General
an
Hospital.
a departure cases.
four
Selby,
The
statements.
from usual
articles Ohio His
the
[1
]
con-
radiologist report
usual
conjectures
the
Selby’s
the
was
anecwere
fatal
regardless
to a poor
of
prognosis:
if
near
amounts it could
hilum
bore
a
of non to be
pleural
fluid
be pulmonary,
The
a direct
excellent
as all
of the lower at autopsy
of not
complication.
This
the
could involve in the periphery was the last
rapid
spread
relation
article
was
to the
illustrated
of high quality full chest nadiognaphs, of selected individual cases. review article [4], written in collaboration
progress
was
less
clinical of
important
sharply
picture.
physicians
the
directed
It was
contribution of
hemorrhagic
At that
small
pneumonia
disease.
later
description
in every
cause of death) He also thought by the second
lower bonders of this situation
appeared a pleural
reproductions
of the
a naval
density
hemorrhagic
more
hospital,
that
began
made
Characteristically,
army
pneumonia
early:
Harkavy,
an
led
true apex and spared. Proof
with
from
spread
involved, and the lobes were always
thus
permitted loban (pneu-
of pneumonia,
onset
autopsy
remained confined to one side, the disease If the patient survived 7 days, the prognosis in the face of other intrathoracic complica-
hemorrhagic
showing
came
after
he concluded
hazy density that spread rapidly and both lungs within 48 hr. It never began in simultaneous sites. The periphery
[4]. Since the first wave of the epidemic began in the United States in April 1 91 8 and the second wave peaked after October 1 91 8, the articles in May 1 91 9 were timely. they
and
Rapid
the pneumonia was never fatal. was good even
gravity in
film
data.
clinical
and
1 920
pneumonia,
third
the
or
found that nadiologic examination of hemorrhagic pneumonia from
mococcus)
of the
Our Journal (32 pages)
of
occurred in to the x-ray
department in the naval hospital where his observations were made. The patients were followed by daily films made with a mobile x-ray unit, and the observations offered were
Justinian’s reign) and of the 1 4th century (the Black Death) were accompanied by very high mortality in relation to incidence. Conversely, in the influenza pandemic the montality rate was low, (about 2%-3%), but the total number of as great as in the incidence. led to somewhat
description
This complication who were referred
and
apparently
than
radiologists.
had
already
been
course,
and
appearance,
considered directed
to a
Nevertheless,
made
in the
prognosis
of
pneumonia.
time,
ogy,
the
response
was
prompt,
in the
adolescence
to this
thoughtful,
new
and
of the
manifestation
mature.
science
of radiol-
of an old
It was
obvious
disease
that
1 60
FROM
radiology, longer the
as it was a field
family
for
recorded dilettantes,
in the Journal but
EARLIER
in 1 91 9, was
a contributing
member
PAGES
no
eral Hospital,
of
AJR
of medicine.
2. E. Frederick
Lang
Honeij
Downloaded from www.ajronline.org by 174.26.253.204 on 10/23/15 from IP address 174.26.253.204. Copyright ARRS. For personal use only; all rights reserved
.
Selby during
JH: Hemorrhagic pneumonitis. the recent influenza epidemic
Roentgen nay studies at the Walter Reed Gen-
4.
Park,
D.C.
, beginning
July 1979
October
1 , 1918.
1919
Influenza
and
broncopneumonia.
from a noentgenological
A study
point of view. AJR
of the 6:226-
1919
3. Boggs
RH: Complications of influenza from the noentgenologiAJR 6:239-242, 1919 Hankavy J, Selby JH: Influenza pneumonia from a clinical and x-ray study. AJR 7 : 1 09-i 1 6; 1 48-1 65, 1920 cal
1
JA:
epidemic 238,
REFERENCES
Takoma
6 : 2 1 1 -225,
AJR:133,
standpoint.
