[Report 1929] / Medical Officer of Health, Leeds City.

  • Leeds City Council
Date:
1929
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1929] / Medical Officer of Health, Leeds City. Source: Wellcome Collection.

    80/288 (page 66)
    scarlet fever were also encountered, and one is tempted to remark on the excellence of the prognosis when scarlet fever complicates the puerperium. Death-rate.—The mortality rate was o • 7 per cent, as compared with o-6 per cent, for the previous year and 0-93 per cent, for the year 1927-1928. The deaths numbered 23, mostly composed of patients in whom sepsis was well developed before admission. Complications.—The percentage incidence of the principal complications remains comparatively low, and shows little change from that of recent years. The details are given in the following table :— Scarlet Fever. Percentage Incidence of Principal Complications. Principal complications. Total number of cases. Percentage incidence. Adenitis (suppurative in 27 cases) .. 271 8'4 ; Albuminuria and nephritis .. 71 2-2 Otitis media .. 220 6-8 Rheumatism .. 89 2-7 i Rhinitis 166 5-1 One patient developed purpura haemorrhagica following a simple attack of scarlet fever. As this is a rare occurrence, a record was published in The Lancet, by Dr. L. Trewby, an assistant medical officer. As a matter of interest, the article may be reproduced here. The patient, a girl, aged 18 years, was admitted to the City Hospital Leeds, on October 4th, 1929, suffering from scarlet fever. She looked healthy. There was no history of rheumatism, and nothing abnormal, in the family history ; she had had measles and whooping-cough in infancy. She was admitted on the fourth day of the disease, and appeared to have a typical attack of scarlatina benigna. The symptoms included a temperature of I02'4°F. on admission, a moderately well-developed punctate erythema, moderately injected throat with rather large tonsils,