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

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Hendon 1945

[Report of the Medical Officer of Health for Hendon]

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32.

SCARLET FEVER, (cont.)

Complications.

The following complications were encountered among the 146 cases of scarlet fever completed during 1945:-

Adenitis16
Otitis Media6
Rhinitis10
Nephritis1
Rheumatism2
Pneumonia1
Tachycardia2
Various sepsis19

MEASLES,
137 cases with a diag osis of measles, or measles in conjunction with
acute
other conditions, were admitted. One, suffering from measles and/appendicitis,
underwent an operation for removal of appendix and was discharged after 20 days'
treatment. Three cases with concurrent measles and whooping cough on admission
were treated and discharged after rn average stay of 32 days. Two cases sent
in with a diagnosis of measles and meningitis proved to be suffering only from
measles. Excluding dual infections, the diagnosis of measles was confirmed in
128 of the cases completed, of whom Wo died, "both having extonsive bronchopneumonia
on admission. 126 recovered and were discharged after an average
stay in hospital of 22.1 days.
Complications among measles patients included 16 cases of bronchopneumonia,
1 of lobar pneumonia, 1 cr.su of mastoid disease for which a right
radical mastoidectomy was performed, Mid 1 suffering from secondary anaemia
requiring blood transfusion. Oxygon tent treatment was used in 11 instances.
CHICKEN FOX.
22 cases were received with a diagnosis of Chicken Pox. One patient
sent in as a case of chicken pox and infantile eczema proved not to be suffering
from chicken pox, but died of infantile eczema and septicaeiiua on the first
day after admission. A further case of chicken pox was found in a patient
who had been sent in with a diagnosis of iieasles. Of the 23 patients discharged
during the year, one was found to be suffering from pemphigus, and
another from acute haemorrhagic nephritis. The latter developed chicken pox
on the 24th dey of treatment. Average stay of the recovered cases of chicken
pox was 22 days.