Snuff — A Source of Pathogenic Bacteria in Chronic Bronchitis

Abstract

CHRONIC bronchitis is a common and often major factor influencing pulmonary disability in chronic pulmonary disease. The flora is commonly "mixed," consisting of various pathogens and non-pathogens including gram-positive and negative bacteria and even fungi. A most disturbing finding in sputum culture is the presence of the enteric pathogens Pseudomonas aeruginosa and Proteus vulgaris. A previously unsuspected source of these organisms has been encountered.The discovery was made in connection with the treatment of a patient with hypertrophic emphysema and chronic bronchitis.Case ReportL.S., a 57-year-old man, was admitted to the Veterans Administration Hospital, Vancouver, Washington, on August 31, . . .