View report page

37
mastoid cells (Swartze's operation). In spite of septic infection
of the left palm, in addition to the ear trouble, this case
made a good recovery.
DIPHTHERIA.
Tracheotomy for the relief of laryngeal obstruction had
to be performed in three cases, and in two cases recovery
followed. Two other cases died of severe faucial diphtheria.
ERYSIPELAS.
One death occurred. This was a child with cellulitis of
the leg, on which erysipelas supervened.
TYPHOID FEVER.
One case in a female aged 77 was admitted for typhoid
fever, but the condition proved to be empyema. Resection
of a rib was carried out under a local anaesthetic, with
temporary relief. Owing to the advanced age of the patient
death ensued after an interval.
TUBERCULOSIS.
In most of the cases admitted the disease was present in
a moderately advanced form. After a period of rest in bed
they were able to take exercise in varying degree. Several
advanced cases were admitted. In all of these strict rest
was enforced, the nursing, apart from diet, being that of
a patient suffering from typhoid fever. In several of the
cases this treatment by strict rest was efficacious in lowering
the temperature. In one case admitted an induction of
artificial pneumothorax with nitrogen gas was attempted.
Circumstances prevented a continuance of the treatment.
Owing to the fact that not many early cases of the disease
were admitted, treatment by tuberculin injections was not
often necessary. The rule maintained has been that only
where the full extent of auto-inoculation by exercise has been
obtained should tuberculin be given.