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There were two cases of surgical scarlet fever, one due to
burns, and the other following tonsillectomy.
Scarlet Fever was complicated by a second infection in the
following cases:—
Scarlet Fever and Chicken-pox 11 Scarlet Fever and Measles 2
Scarlet Fever and Whooping Cough 5 Scarlet Fever, Measles and Chicken-
pox 1
Of the 24 cases admitted as scarlet fever in which the
diagnosis proved incorrect the revised diagnoses were as
follows:—
Tonsillitis 9 Rubella 2 Scabies 1
Measles 3 Toxic Erythema 2 Septic Rash 1
Pharyngitis 3 Chicken-pox 1 Bronchitis 1
Otitis Media 1
The fatal case of scarlet fever was due to the complication
of rheumatic endocarditis aggravated by chorea gravis. Death
from congestive heart failure occurred 4J months after admission.
Measles.
116 patients were admitted as suffering from measles and the
diagnosis was confirmed in all but one case which was diagnosed
as bronchitis. In addition, 3 cases admitted as scarlet fever
patients and 1 observation case were diagnosed as measles.
Measles developed after admission in 2 scarlet fever patients and 1
patient suffering from cerebro-spinal meningitis, making a total
of 122 measles cases treated as compared with 58 in the previous
year. The great majority of cases were admitted during the
months of March, April and May, when the disease was epidemic
in the locality and a ward was opened for their accommodation.
The following complications Occurred:—
Broncho- Enteritis 4 Sinusitis 1 Hepatitis 1
pneumonia 13 Pleurisy 1 Meningitis 1 Phlyctenular
Otitis Media 5 Conjunctivitis 1
Impetigo 1
In the one fatal case which occurred death was due to acute
atrophy of the liver following hepatitis—an unusual complication.
Cerebro-Spinal Meningitis.
Nine patients were admitted for this disease, but the
diagnosis was confirmed in only 2 of these cases. One patient
admitted as suffering from encephalitis lethargica was diagnosed
as cerebro-spinal meningitis, making a total of 3 cases treated
as compared with 4 in the previous year. They all had
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