London's Pulse: Medical Officer of Health reports 1848-1972

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Wimbledon 1932

[Report of the Medical Officer of Health for Wimbledon]

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Scarlet Fever.—One hundred and forty-one cases were
admitted to hospital during the year as scarlet fever. In one
case, the patient was found to be suffering from measles, and
in three other cases, German measles.
No death from scarlet fever occurred.
The following complications were noted amongst the
cases under treatment:—
Rhinitis 5
Otorrhœa 16
Mastoiditis 1
Adenitis 14
Nephritis 1
Albuminuria 3
Rheumatism 3
Whitlows 5
Jaundice 1
Superficial Abscesses and Boils 3
Bilateral Ethmoidal Abscess 1
Sequestrum of Frontal Bone 1
Cystitis 1
Quinsy 1
The most important complications that arose were those
involving the ears, nose, and glands.
Sixteen patients developed otorrhœa and one mastoiditis,
making in all seventeen cases with ear complications.
Paracentesis on one or both ears was performed in four
cases.
An operation for bilateral mastoid disease was carried
out on one patient who was subsequently sent home with
normal hearing and free from ear discharge. In nearly all
the patients with ear complications the trouble completely
subsided before they left hospital, and in no case did any
apparent deafness result.
One patient developed acute hæmorrhagic nephritis, and
three albuminuria. These patients made complete recoveries.
One child developed bilateral ethmoidal abscesses, which
required surgical intervention. This resulted in complete cure.
In another child a large sequestrum formed in the frontal
bone. This patient was gravely ill and was operated on for
the removal of the dead bone. The underlying brain was
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