Cited by 91Influenza Virus Research StudiesPneumonia and Respiratory InfectionsAntimicrobial Resistance in Staphylococcus

Asian Influenza A in Boston, 1957-1958: II. Severe Staphylococcal Pneumonia Complicating Influenza

MARTIN, CHRISTOPHER M.·1959·A M A Archives of Internal Medicine

Abstract

Prior to the 1957-1958 epidemic of Asian influenza A, public health authorities in the United States warned that a high incidence of postinfluenzal staphylococcal pneumonia could be anticipated, and they widely publicized recommendations for limiting the severity of this complication.1,2In virtually all sections of the nation many cases of staphylococcal pneumonia did indeed occur; available data indicate that despite the forewarning the Staphylococcus accounted for the largest single group of fatalities due to postinfluenzal bacterial pneumonia.3 The purpose of the present report is to present and compare the findings, clinical course, and management in 11 fatal cases and 9 nonfatal cases of post-Asian-influenzal staphylococcal pneumonia occurring in Boston and environs; to analyze the properties of the strains of staphylococci responsible, and to demonstrate the importance of the rapid choice of effective antistaphylococcal chemotherapeutic agents. Materials and Methods Human Cases. —All the cases studied occurred in the months

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Crossref · 10.1001/archinte.1959.00270040018002

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  • During the 1957-1958 pandemic, staphylococci assumed a novel prominence as the leading etiologic agent of secondary bacterial disease.

    “During the 1957-1958 pandemic, however, staphylococci assumed a novel prominence as the leading etiologic agent of secondary bacterial disease [6,7].”
  • In studies examining severe or fatal cases, the pathogenesis of influenza-associated S. aureus pneumonia seems to be distinct from that of typical community-acquired pneumonia.

    “In studies examining severe or fatal cases, however, the pathogenesis of influenza-associated S. aureus pneumonia seems to be distinct from that of typical community-acquired pneumonia.”
  • Influenza-associated S. aureus pneumonia is characterized as fulminant, with short intervals between onset of illness and diagnosis of pneumonia (<7 days) and rapid (often within <24 h) progression to severe disease with multilobar involvement.

    “The disease is characterized as fulminant, with short intervals between onset of illness and diagnosis of pneumonia (,7 days) and rapid (often within ,24 h) progression to severe disease with multilobar involvement [6,7,9,11,12].”

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Authors
MARTIN, C. M.
Corresponding author
MARTIN, CHRISTOPHER M.
Venue
A M A Archives of Internal Medicine
Published
1959-04-01
Volume
103
Issue
4
Pages
532
ISSN
0888-2479 (ISSN-L)
OpenAlex
W2032167504
Cited by
91
References
16
Citations by year
2026: 1 · 2025: 1 · 2021: 1 · 2020: 3 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 1
FWCI
9.09
Type
journal article
Language
en
Open access
closed
Locations
  • A M A Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
  • Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
  • Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
Keywords
Staphylococcus aureus, fatal pneumonia, clinical course, Boston
MeSH terms
Boston, Humans, Influenza, Human, Micrococcus, Pneumonia, Pneumonia, Staphylococcal, Staphylococcus, Asian People

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