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initial improvement occurred, this was not maintained, and the
patient died. It is felt that, even though the use of a tent cannot
in every case avert a fatal issue, its use is indicated if only for
the alleviation of symptoms it brings about.
Measles.
The year 1937 was not a "measles year." Seven uncomplicated
cases were admitted and all recovered. One hunded c.c.
of blood was withdrawn from an adult convalescent for the purpose
of manufacturing a supply of convalescent measles serum.
Whooping Cough.
Thirty-seven uncomplicated cases were admitted, all patients
making a good recovery. In addition, there was one fatal case,
complicated by severe enteritis in a child aged three years.
Enteric Fever.
Six patients were admitted during the year with a diagnosis
of enteric fever. Widal examination was carried out in each and
confirmed the diagnosis in five cases, as under:—
Typhoid Fever 1
Paratyphoid B 4
All the patients recovered and were discharged after bacteriological
examination had shown them to be free from infection.
Erysipelas.
Nine cases of facial erysipelas were admitted, three being
of marked severity. All cases responded well to treatment, four
receiving anti-scarlatinal serum (one intravenously) and five
prontosil album. In addition, a case was admitted of erysipelas
of the leg, complicated by thrombosis of the internal saphenous
vein, with multiple abscess formation requiring many incisions.
One case was admitted but diagnosis was not confirmed.
Ludwig's Angina.
One patient was admitted in an advanced stage of the
disease. Death occurred within six hours of admission, and the
death certificate was furnished by the patient's private doctor.