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Only three cases had received serum before admission.
Intra-muscular injections of serum between 24,000—72,000
units were given to cases. One case received 20,000 units intravenously.
The beneficial effect of large doses of serum when given late
was less marked than when given at the onset of the disease, the
patient having already absorbed large doses of toxin in the system
which, becoming fixed in the tissue cells, cannot be neutralised by
the anti-toxin administered. This was the cause of the rapid onset
of heart failure.
Enteric Fever.
Eight cases of enteric fever and 10 cases of para-typhoid B
were admitted compared with 3 enteric and 5 para-typhoid patients
in 1932.
The following in as analysis of the cases.
Sent in as enteric and diagnosis confirmed 7
Sent in as enteric and really tubercular meningitis 1
Sent in as para-typhoid B and diagnosis confirmed 9
Sent in as paratyphoid B and really bac. coli infection 1
18
The cases were of moderate severity. The one death was due
to tubercular meningitis and not typhoid fever.
Puerperal Fever and Pyrexia.
Thirteen cases were sent in as Puerperal Fever: of these
1 was a case of influenza only.
1 a case of constipation only.
1 a case of ante-partum hæmorrhage and thrombo-phlebitis
of femoral vein.
1 a case of abortion and septicaemia.
In 9 cases the diagnosis was confirmed.
One case of puerperal pyrexia was sent in and the diagnosis
was confirmed.