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Treatment. The amount of antitoxin administered to the
nasal and mild faucial cases averaged 13,000 units per case. The
moderate faucial cases received an average of 35,000 units. To
the severe faucial cases, the antitoxin was administered partly by
intravenous and partly by intramuscular injection, and the amount
averaged 116,000 units per patient.
Typhoid fever. Of 21 cases which were admitted as
suspected typhoid fever, 10 proved to be suffering from the disease.
The other 11 cases suffered from the following complaints:—
Ulcerative colitis, 1; enteritis, 4; ulcerative stomatitis, 1; acute
rheumatism, 1; cholecystitis, 1; influenza, 1; broncho-pneumonia,
1; constipation, 1. The case of ulcerative colitis proved fatal;
this patient was a man aged 23 years.
Of the 10 positive cases, 3 suffered from typhoid fever and
7 from a paratyphoid B infection.
With one exception, all the cases were comparatively mild,
and all made a satisfactory recovery. The exception was a girl of
three years Mho, two days before admission, suffered a severe
intestinal haemorrhage for which a blood transfusion had been
administered. On admission she was weak and anasmic. Diarrhoea
persisted during the following ten days, and she had an
irregular temperature, with occasional rises over 103°, until the
fifth week of the disease. Her general condition, however, slowly
improved. Towards the end of the fifth week of illness she complained
of slight pain in the right groin on movement. This pain
gradually increased, and a week later a swelling appeared over
the right hip-joint. An X-ray examination showed the swelling
to be due to a dislocation. The condition was caused by arthritis,
which is a very rare complication of typhoid fever. The patient
was transferred to Whipps Cross Hospital for surgical treatment.
Measles. This was not an epidemic year and the majority
of the patients admitted were suffering from a mild type of infection.
Of 22 patients who were under treatment during the year,
17 were discharged, one died, and four remained under treatment
at the end of the year. The fatal case was a child aged three
years whose illness was complicated by broncho-pneumonia.
Whooping cough. The numbers of cases under treatment
was 64. Of these, 49 were discharged, 13 died, and 2 remained
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