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38 of the above cases did not show, on admission, clinical
evidence of diphtheria. 2 cases proved to be avirulent K.L.B.
carriers, 2 were cases of Tonsillitis and 2 of Streptococcal Tonsillitis
and carriers of haemolytic streptococci. The operation of tonsillectomy
was performed in 2 cases for persistent carrier conditions.
7 deaths due to Diphtheria occurred in the Hospital. The
ages of the patients were 7 months, 1½, 2½, 8, 13, 13 and 13J years.
The following complications occurred in the patients discharged
during the year:—
2 cases developed Palatal Paresis.
Other complications:—
Streptococcal Tonsillitis 4
Otorrhoea 2
Albuminuria 2
Intravenous Therapy.—Eleven cases were treated with intravenous
injections of anti-toxic serum, glucose and insulin.
8 recovered, 3 developed palatal paresis, 1 was a case of haemorrhagic
diphtheria (fatal), 1 developed cardiac failure (fatal),
1 palatal, pharyngeal and respiratory paralyses (fatal).
4 cases suffered from laryngeal diphtheria, 6 from nasal
diphtheria, and 3 from laryngeal and faucial diphtheria. Two
of this last group were fatal.
The following table shows the percentage death-rate of cases of
diphtheria admitted to the Ilford Isolation Hospital during the
past five years, the rate being calculated each year only on those
admissions which proved to be clinically diphtheria.
1931. 1932. 1933. 1934. 1935.
Ilford .. .. 2.4 1.28 4.8 8.8 5.7
Pemphigus Neonatorum.—1 case was admitted to Hospital, and
died 4 days after admission.
Observation Cases.—Eight cases were admitted as follows:—
(1) Influenza, (2) Streptococcal tonsillitis, (3) Pustule on back of
infant, (4) Pyelonephritis, (5) Streptococcal tonsillitis and
pregnancy, (6) Abscess of scalp of infant, (7) (?) Scarlet fever,
(8) (?) Para-typhoid fever.