Asylum Pneumonitis

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Abstract
Oral and nasal feeding of resistive or debilitated patients by nurses in our hospital very frequently induced the development of pulmonary lesions we propose to call ‘asylum pneumonitis’. This condition is typified by a characteristic clinical course and by special pathoanatomical and histological manifestations. The clinical symptomatology in which, at admission, neuropsychiatric abnormalities were prevalent, changes more and more due to the growing predominance of a pulmonary disease. Exploring in elderly persons causes of difficulties in swallowing, destructive cerebral amyloidosis proved to be one of the important factors. In these age groups, cardiovascular amyloid deposits, such as the multifocal, massive and the diffuse fibrillary interstitial amyloidosis of the heart muscle as well as the generalized stenosing vascular amyloid degeneration often furthered the lethal effect of the aspiration of vegetable foreign bodies.

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