[Report 1932] / Medical Officer of Health, Edinburgh City.

  • Edinburgh (Scotland). City Council
Date:
1932
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1932] / Medical Officer of Health, Edinburgh City. Source: Wellcome Collection.

    44/184 (page 30)
    ERYSIPELAS. There were 208 cases admitted to the wards notified as suffering from erysipelas. The diagnosis was confirmed in 163 patients. The corrected diagnosis in 45 cases was as follows :—cellulitis (12), dermatitis (11), erythema (4), herpes facialis (3), eczema (3), abscess (4), dacyro-cystitis (2), septic parotitis, lymphangitis, furunculosis, phlebitis, septic wound and puerperal infection. The case mortality was 8-58 per cent. Of the ] 4 deaths 8 were due to erysipelas and 6 to complications—mitral disease (2), bronchitis, nephritis, diabetes, and traumatic cerebral haemorrhage. The inflammation primarily affected the face in 147 out of the 163 cases. Twenty patients (12-3 per cent.) had suffered from a previous attack. Five patients (3-1 per cent.) suffered from one or more relapses while still under treatment in hospital. Table showing age and sex of erysipelas patients :•— Age-period in years 0-4 years. 5-9 years. 10-19 years. 20-29 years. 30-39 years. 40-49 years. 50-59 years. 60-69 years. 70 + years. Totab.i f Males . 4 i 3 9 9 13 13 9 61 ! Recovered 1 (. Females 1 4 8 16 11 15 20 8 5 88 f Males . 1 2 4 3 i 11 Died 1 (_ Females 1 1 . i 3 Totals 5 5 11 20 20 31 38 20 7 163 | Hospital death-rate 8-58 per cent. CEREBRO = SPINAL MENINGITIS. Seventy-seven suspected cases of cerebro-spinal fever were admitted to hospital of which 47 proved to be meningococcal infections. In addition there were two cases misdiagnosed as encephalitis, and scarlet fever, making the total number of patients suffering from cerebro-spinal meningitis 49. The following diseases were noted in the group of 30 misdiagnosed cases :— lobar pneumonia (8), tubercular meningitis (3), streptococcal meningitis (2), pneumococcal meningitis (2), influenzal meningitis, aseptic meningitis, acute epidemic encephalitis and acute anterior poliomyelitis. Thirty-four, cases of meningococcal meningitis died. Excluding infants the death-rate was 58-0 per cent. Table showing age and sex of patients suffering from cerebro-spinal meningitis :— Age-period in years Under 1 yr. 1-4 years. 5-9 years. 10-14 years. 15-19 years. 20-29 years. 30-39 years. 40-49 years. 50 + years. Totals. r Males . 2 2 2 6 Recovered 4 (_ Females . , 2 3 i i - ... 9 f Males . 13 8 i 2 1 3 i 2 26 Died I (_ Females 3 4 i 8 Totals 18 10 5 1 4 5 3 i 2 49