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29
Typhoid and Para-Typhold Cases.
During the year 8 cases of typhoid and para-typhoid fever were admitted
and in all the diagnosis was confirmed. No deaths occurred amongst them.
Of the 8cases admitted one was a case of typhoid fever, whereas the other
7 ware cases of para-typhoid B.
Puerperal Fever.
During the year there were 2 cases of Puerperal Fevor and 10 of Puerperal
Pyrexia. Two deaths occurred amongst the twelve cases.
The two cases of puerperal fever wore complicated as follows:-
1 was complicated by general septicemia.
1 was complicated by thrombo-phlebitis.
One of Hig puerperal pyrexia cases was complicated by pneumonia and pleurisy.
Erysipelas.
There were 16 cases of Erysipelas admitted, a decrease of¢ one case on
1940.
In one case the diagnosis was not confirmed, the case being one of a
septic ulcer of the leg.
One death occurred amongst them due to being complicated by Morbus Cordis.
MeasLos.
There wore 2? oases of measles admitted, and 3 deaths occurred rmongst
them dua to being complioatcd by Broncho-pneumonia. In 3 of the twenty-seven cases
the diagnosis was not oonfinnad, 2 being cases of Dermatitis and 1 a case of
Urticaria, The disgaso was of average severity.
Whooping Cough,
There were 62 cases of Whooping Cough admitted and 4 deaths occurrod
enongst these being complicated by Broncho-pneumonia, There was an increase of
58 cases on 1940,
Cerebro-Spinal Meningitis.
There were 32 cases of Cerebro-Spinal Meningitis, but of these only in
22 cases was the Diagnosis confirmed. Of the other 10 the diagnosis was as
follows:-
3 were cases of Tubercular Meningitis.
3 ware cases of Influenza,
1 was a case of Coryza.
1 was a case of Encephalitis Lethargica.
1 was a case of Trismus.
There were lQ daeths amongst ther, but 2 of the daeths occured in the
Tuber cular Meningitis group.
The disease was of a fairly sever type, but in the cases
admitted in the early stages the response treatment was very good.
The treatment consisted in lumbar mncture on admission with
the administration of 20-30 c.c. meningococcus anti-toxin intra-the cenlly.
At the same time sulphapyridine was given in doses of 2 grms.
repeated in four hours time, and then 1 grm. was given four-hourly. T is was
continued for 4 to 5 days.
In the case of children, half the adult dose was similarly given,
whilst in those cases who were sick after giving the drug, the soluble form in doses
of 2.5 c.c. was administered by intra muscular injection.