Identifier: diseasesofinfant01grif (find matches)
Title: The diseases of infants and children
Year: 1919 (1910s)
Authors: Griffith, J. P. Crozer (John Price Crozer), 1856-1941
Subjects: Infants Children Disease Pediatrics
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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pulse-rate, and moderate fever of an irregu-lar type (Fig. 17()). Later dyspnea becomes decided; the cough worse;the temperature higher, and there is cyano.sis and increasing \v(>akncss.The physical signs are the same as those of simple broncliopncunnonia,the lesions usually being scattered to a varying extent throughout bothlungs, aUiiough most apparent in one. The p.scudolobar form is less oftenseen. When localization occurs it is oftener in the upper lol)eand towardthe hilus than is the case with simple broncliopneumonia. Yet there is 552 THE DISEASES OF CHILDREN such variation possible in the symptoms and physical signs that the diag-nosis of the tuberculous nature of the case is often impossible. Sug-gestive of tuberculosis is the development of bronchopneumonia duringconvalescence from measles or pertussis, or after a period of wasting andill-health such as occurs in the general tuberculosis of infants; thediscovery of tuberculosis elsewhere in the body; the failure of conva-
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FlG. 178. RaDIO(;HAPH of TlBEKCULOt.S Bronchopneumonia. Same case as in Fig. 177. Shows advanced lesions of tuberculous bronchopneumoniain the right lung and to a less extent in the left. Viewed from behind. lescence to begin at the time which may reasonably be expected insimple bronchopneumonia; and the consequently longer course, continuingperhaps for several weeks. Tubercle bacilli may often be found in thesecretion from the lungs (see p. 560) or the tuberculin-reaction may beobtained. In rare instances hemoptysis may occur. I have, however,seen a profuse hemorrhage fatal in a few minutes in an infant of 14months. (c) Subacute and Chronic Pulmonary Tuberculosis.—This may showitself in several forms in children. TUBERCULOSIS 553 (a) Subacute and Chronic Tuberculous Bronchopneumonia (Figs.177-180).—The subacute type of this condition constitutes merely aprotracted form of acute tuberculous bronchopneumonia and is directlycontinuous with it. It may last for some months and termina

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