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86
Three very severe cases of Scarlatina Anginosa were admitted.
All three made good recoveries.
One case notified as Scarlet Fever proved to be a case of food
rash. One patient developed acute mastoiditis and was operated
on by Dr. Friel.
Some degree of cervical adenitis was present in practically all
cases. Suppurative rhinitis 18 (Diphtheritic, 14; Streptococcal
4).
One case of Scabies occurring in a patient with Scarlet Fever
proved so intractable that it was sent to Whipps Cross Hospital.
One patient developed tubercular dactylitis. One case of
Phthisis was admitted from Black Notley Sanatorium. The
phthisical condition was not aggravated by the attack of Scarlet
Fever.
Scarlet Fever cases transferred to Cubicle Block.—From
Acute Scarlet Fever Block—Scarlet Fever with K.L.B. infections,
23; Scarlet Fever with Morbilli,7; Scarlet Fever in contact with
Morbilli,l; Scarlet Fever in contact with Tubercular Diathesis,1;
Scarlatina Anginosa,2; Scarlet Fever and Tubercular Dactylitis,
1; Scarlet Fever with vaginal discharge,1; Scarlet Fever with
Asthma,1; Scarlet Fever with Pertussis,2; Scarlet Fever in
contact with Diphtheria,1; Scarlet Fever (uncomplicated), 4;
Notified as Scarlet Fever and proving to be Rubella,1; Notified
as Scarlet Fever and proving to be food poisoning,1; Notified as
Scarlet Fever, atypical,2; Scarlet Fever with Otitis Media, 3;
For Tonsillectomy,3; Total, 51.
From Convalescent Scarlet Fever Block—Relapse of Scarlet
Fever,1; Scabies,1; Abortive Appendicitis, 1; Total,3.
Scarlet Fever complicated by the presence of K.L.B.—
During the last three months of the year 1932, all cases of Scarlet
Fever were swabbed on admission to hospital with a view to ascertaining
whether the patient harboured K.L.B. or not. During the
month of November 75 per cent, of such cases were found to give
positive results. As it was impossible to segregate these patients,
an alternative method of injecting each patient with anti-diphtheritic
serum has been adopted and is now in use.
The majority of the patients who harboured K.L.B. were found
to be of the carrier type and the organism non-virulent.
There is as yet no rational approach to the problem of the
diphtheria carrier and it is pre-eminently the nasal carrier who