Influenza alone and in sequence with pneumonia due to Streptococcus pneumoniae in the squirrel monkey.
Abstract
Squirrel monkeys (Saimiri sciureus) inoculated intratracheally with 10(4.2)-10(8.2) egg median infectious doses (EID50) of type A influenza virus (H3N2) responded with clinical illness including such signs as fever, sneezing or coughing, coryza, and increased respiratory rates. Necropsy studies performed six days after inoculation revealed bronchopneumonia in addition to a mild tracheitis. Squirrel monkeys given 10(5)-6 x 10(8) colony-forming units (cfu) of Streptococcus pneumoniae intratracheally died four to six days later after developing severe illness characterized by fever, bacteremia, lethargy, anorexia, coughing, labored breathing, and bronchopneumonia. Monkeys given 770 cfu of S. pneumoniae responded with less severe symptoms and survived. Four squirrel monkeys inoculated with 10(8.2) EID50 of virus and then 102 hr later with 770 cfu of S. pneumoniae developed severe disease; three of the four animals died within 40 hr. At necropsy these monkeys had more extensive and severe bronchopneumonia than was seen in monkeys infected with either organism alone.
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In squirrel monkeys, co-infection with influenza A and S. pneumoniae resulted in severe morbidity with a 75% death rate within 40 hours, whereas individual infections caused minor illness with 100% survival.
“Co-infection of influenza A with S. pneumoniae resulted in severe morbidity with a 75% death rate within 40 h, clear evidence of the consequences of co/secondary bacterial infection (Berendt et al., 1975).”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Berendt et al., 1975
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Secondary bacterial infections associated with influenza pandemics
Morris, D. E., Cleary, D. W., & Clarke, S. C. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01041 · Cited by 576 · see citing works
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Takase, H., Nitanai, H., Yamamura, E., & Otani, T. (1999) · Microbiology and Immunology · doi:10.1111/j.1348-0421.1999.tb01226.x · Cited by 18 · see citing works
- Authors
- Berendt, R. F., Long, G. G., & Walker, J. S.
- Affiliations
- United States Army Medical Research Institute of Infectious Diseases (US)
- Corresponding author
- Berendt, R. F.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1975-12-01
- Volume
- 132
- Issue
- 6
- Pages
- 689-693
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2153700552
- Cited by
- 55
- References
- 11
- Citations by year
- 2025: 1 · 2021: 2 · 2019: 4 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 3
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Health Sciences › Medicine › Epidemiology › Respiratory viral infections research
- Keywords
- H3N2, Streptococcus pneumoniae, squirrel monkey, Saimiri sciureus, co-infection, sequential infection, bronchopneumonia, bacteremia, tracheitis, respiratory diseases, pathogenicity, dose-response relationship
- MeSH terms
- Animals, Haplorhini, Bronchopneumonia, Lung, Orthomyxoviridae Infections, Pneumococcal Infections, Saimiri
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