Typhoid fever and its sequelae / by Louis I. Dublin.

  • Dublin, Louis I. (Louis Israel), 1882-1969.
Date:
1914
Catalogue details

Licence: Public Domain Mark

Credit: Typhoid fever and its sequelae / by Louis I. Dublin. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    COMPLICATIOXS. Table 3 shows the complications in these 146 cases. These are important in view of our interest in the sequelae to be referred to later. Interest should be centered in the fact that over 15 per cent, involve intestinal per- foration, hemorrhage, peritonitis and other similar conditions. Meningitis and pneumonia were present in 10.3 per cent, of the fatal cases, heart con- ditions in 8.2 per cent, of the cases. Other complications, such as tuber- culosis and acute nephritis indicated that the lungs and kidneys were im- paired in a considerable number of cases in coimection with the typhoid infection. TABLE 3. COMPLICATIONS IN 146 FATAL CASES OF TYPHOID FEVER. Visiting Ntikse Service, 1911, Metropolitan Life Insurance CoWany. Complications -nitli typlioid fever. Number of Per cent, of deaths. total deaths. 60 41.1 22 15.1 15 10.3 15 10.3 12 8.2 8 5.5 4 2.7 10 6.8 146 100.0 No complications stated Intestinal perforation, hemorrhage Meningitis Pnemnonia Heart involvements Tuberculosis (all forms) Acute nephritis Other compHcations Total fatal cases DlSTRIBUTIOX OF RECOVERED CaSES. Table 4 shows the distribution by age and sex of the 1,4£8 persons who recovered from the typhoid fever. This distribution is very slightly dif- ferent from that of Table 1 which showed the distribution of the initial cases. Relation Actual to Expected Mortality. From this point onward, our effort was directed to a comparison of the actual and expected mortality among the 1,428 survivors. Our method was as follows: The 1,428 cases were distributed by sex and color and by ten-year age periods. A separate schedule was prepared for each sex and color. The mortality rates of the Company for each individual age. sex and color class was employed as a standard. We assumed that the mor-