London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1932

[Report of the Medical Officer of Health for Croydon]

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101
It will be seen that 110 complications occurred amongst those
cases who had serum on the 1st day of disease and that the proportion
of cases that had complications was higher in those who
got serum on the 2nd to 6th day.
The two cases who received serum on the 25th and 35th day
of disease respectively were given this after a relapse, and had not
received it at first.
DIPHTHERIA.
162 cases were admitted with a diagnosis of diphtheria, a decrease
of 107 cases on 1933. Of these 2 were found not to be cases
of diphtheria and 45 were Positive swabs without clinical symptoms,
leaving 115 cases of true diphtheria.

Analysis of the 115 diphtheria cases:—

Faucial Diphtheria94
Nasal Diphtheria15
Laryngeal Diphtheria4
Faucial and Nasal Diphtheria2
115

Of the 4 laryngeal cases, tracheotomy was necessary in one
case, whilst another was moribund on admission owing to advanced
leart failure. The following complications and sequelae occurred
amongst the diphtheria patients:—
Otorrhoea, 3; Rhinorrhoea, 4; Albuminuria, 1; Heart Failure.
7. Palatal Paralysis, 5; Ocular Paralysis, 2; Paralysis of Legs, 2.
Table XL shows the ages and sexes of the diphtheria
patients. The greater number of cases occurred in the 5-10 age
group, as was the case in 1931.