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Glandular Fever - 15 patients were admitted, all between the
ages of 14 and 25. All cases were confirmed by Paul Bunnell reaction.
13 patients had obvious glandular enlargement and Iliad
exudate on the throat. One had sore throat without exudate, 5
patients had a rash and one had petechial haemorrhage.
Scarlet Fever - 19 patients were admitted in the following age
groups: - 0 - 4 years - 5 cases; 5-15 years - 14 cases and 16
25 years 1 case. Thus, they were predominantly school children.
Complications consisted of one case each of haematemesis,
folliculitis of face, arthritis and otitis media. Concomitant
illnesses consisted of an allergic rash and a fractured elbow.
Pneumonia - There were three deaths amongst the 16 cases of
pneumonia admitted. One was a lady of 78 with myocardiac degeneration,
a second was a patient of 37 years with advanced
congenital heart disease and the third was a baby, one year old,
who suffered from toxaemia and heart failure on admission and
died within two days. Among the remaining patients, there was
one case each of heart failure, pleural effusion and otitis
media.
Whooping Cough - 15 patients were admitted in the following age
groups: - 0 - 1 year - 10 cases; 1-2 years - 4 cases; 2 - 5
years - lease. Complications were present as follows: - pneumonia
- 4 cases, anaemia - 3 cases and one case each of rhinorrhoea,
stomatitis, enteritis and lobar collapse. Oo-existing illnesses
were two cases of eczema and a fractured radius and ulna.
Other Infections - The salmonella infections consisted of 4
cases of S. Typhi-murium, 2 cases each of S. Heidelberg and
S. Brandenberg and one case of S. Bareilly. The Paratyphoid
patients came from an outbreak in Croydon General Hospital and
consisted of five patients and four staff. Three of the patients,
who were gravely ill from other causes, died. In the three
pyogenic cases of meningitis, penicillin had already been given
and so the organism was not isolated. The fourth case was due to
osteomyelitis of the skull and the fifth to E.C.H.O. type 14
virus. Of the Typhoid cases, one was infected in Switzerland.
another in Calcutta, a third was in contact with cases in Harlow
but it was not possible to say where the fourth case contacts
the infection.
For detailed figures see appendices, pages 135 - 136.