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40
%
The following' operations were performed in connection with
complications arising in patients suffering from Scarlet Fever:—
Acute suppurative cervical adenitis 5
Abscess of scalp 1
Axillary abscess 1
Mastoid abscess 3
The following table gives particulars of the chief diseases and
conditions associated with Scarlet Fever which were present in the
patients admitted during the year:—
Parotitis 2
Morbilli 8
Pertussis 3
Scabies 2
Septic Wounds, Scalds
and Burns 5
Tinea 2
Diphtheria 54
Varicella 5
Impetigo 13
Tuberculosis 2
Pneumonia 1
It will be noticed that over 10 per cent, of the cases of Scarlet
Fever were associated with infection by the diphtheria bacillus,
and in these cases isolation and treatment by inoculation with
anti-diphtheritic serum was necessary.
In 20 patients, suffering from the more severe septic and
toxic forms of Scarlet Fever, it was considered advisable to
administer scarlet fever antitoxin and, with the exception of one
very severe case, the results were highly satisfactory.
Much difficulty has been experienced as the result of the persistence
of nasal, pharyngeal and aural complications and, in some
cases, the recurrence of these complications after discharge from
Hospital. There is no doubt that these conditions supervene only
in those patients who have suffered, over prolonged periods, from
chronic naso-pharyngeal infection with hypertrophy of the tonsils
and of adenoidal tissue in the naso-pharynx.
(b) Diphtheria.
Excluding the 62 cases remaining in the Hospital at the end
of the year, 414 completed cases of Diphtheria were treated during
the year 1927, and of this number 27 died from Diphtheria. This
equals a case mortality of 6'5 per cent., as compared with a rate