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83
Two deaths occurred during the year, as follows:—
(a) A male, aged 30 years. He was admitted to hospital at
the end of the first week after the onset of the disease, suffering from
toxic scarlet fever, with nephritis.
In spite of intensive treatment he died 8 days later.
(b) A female, aged 24 years. She was admitted on the second
day of the disease, and developed acute otitis media two days later.
She received 90 c.c. of Scarlet Fever Anti-toxin intramuscularly
during the first four days in hospital. Arthritis of the left shoulder
then set in. A blood culture two days later showed the presence
of a Septicaemia, due to Type I Streptococcus Scarlatinæ. She died
on the fourteenth day of the disease, with a terminal bronchopneumonia.
It would appear that in this case the anti-toxin used
was not of sufficient potency to combat the initial infection and
prevent a fatal result.
The following table shows the percentage death-rate of cases of
scarlet fever admitted to the Ilford Isolation Hospital during the
past five years compared with the death-rate in the Institutions of
the Metropolitan Asylums Board:—
1926. 1927. 1928. 1929. 1930.
Ilford Nil. .6 .5 .3 1.05
M.A.B. .8 .6 .63 .60 not available
The following complications occurred in the patients discharged
during the year:—
Complications present on admission:— Percentage.
Otorrhœa 7 3.6
Mastoiditis 2 1.05
Nephritis (fatal) 1 .5
Bronchitis 4 2.1
Abscess (axillary) 1 .5
Complications developing after admission:— Percentage.
Otorrhœa 10 5.2
Mastoiditis 3 1.5
Adenitis 5 2.6
Suppurative adenitis (groin) 1 .5
Tonsillitis 1 .5