Annual report for the year 1906 : (9th year of issue) / Metropolitan Asylums Board.

  • Metropolitan Asylums Board (London, England)
Date:
1907
Catalogue details

Licence: In copyright

Credit: Annual report for the year 1906 : (9th year of issue) / Metropolitan Asylums Board. Source: Wellcome Collection.

    395/418 page 331
    Table II.—Cases in which nasal discharge was present on admission, or developed subsequently during the acute stage. Character of Faucial Attack. Total Number of Faucial Cases. Number of Cases with Nasal Discharge. Percentage. Very severe. 121 89 73*55 Severe. 225 112 49 77 Moderately severe . 108 30 27*7 Moderate . 305 48 15-73 ] Mild. 428 44 io-is 1,187 323 Further evidence of the greater severity of the cases in which the nasal dis¬ charge persisted until admission is afforded by the following figures. Out of 92 deaths in the 1,200 cases 16, or 1 * 8 per cent., occurred in the purely faucial cases, among which are included those which had a history of nasal discharge prior to admission only; 14 or 11*1 per cent, occurred in the faucial and laryngeal cases; while in the faucial and nasal cases there were 59 deaths, or a mortality of 18 *2 per cent. Intercurrent diseases were responsible for 3 deaths, two being due to scarlet fever, and one to congenital syphilis. The incidence of albuminuria and paralysis, the frequency and severity of which bear a direct relation to the character of the initial attack, was greatest in the nasal cases. Thus, among the purely faucial cases there were 135 paralysis cases (15*6 per cent.), 27 of which were severe, while in the faucial and nasal cases there were 143 paralysis cases (44-2 per cent.), 59 of which were severe. So with albuminuria. In the faucial and nasal cases there were 215 albuminuric cases (66*5 per cent.), in 32 of which the albumin persisted for three weeks or more; in the purely faucial cases there were 395 albuminuric cases (45• 8 per cent.), in 19 of which the albumin was present for more than three weeks. In the cases of self-limiting nasal discharge the rhinorrhoea was a very early symptom, starting as a rule at an earlier date than the nasal discharge which persisted until admission. This is shown by the following tables Table III.—Day of disease on which a nasal discharge was first noted in cases which on admission and 1st da\ 2nd 3rd ,, 4th „ 5th ubsequently had none. 88 cases 43 „ 28 6 7 5 177 cases
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