ACUTE RHEUMATIC FEVER IN A LARGE SOUTHERN HOSPITAL OVER THE FIVE YEAR PERIOD 1950 THROUGH 1954*
- SAMUEL L. LIEBER, M.D.†; and
- JOE E. HOLOUBEK, M.D., F.A.C.P.
- Requests for reprints should be addressed to Samuel L. Lieber, M.D., Physicians & Surgeons Building West, Shreveport, Louisiana.
Excerpt
Medical literature contains little information regarding the incidence of acute rheumatic fever in the central southern portion of the United States, although in the past there have been reports from other sections.1, 2, 3 The purpose of this paper is to report this disease as seen on the wards of Confederate Memorial Medical Center, of Shreveport, Louisiana, a 1,000 bed general hospital for the care of indigent citizens of Louisiana. The drawing area of this hospital is primarily the northern part of the state.
Admissions: During the five year period from January 1, 1950, through December 31, 1954, there were
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Esseva executate un studio del combinate admissiones al departimentos pediatric e de medicina interne del "Confederate Memorial Medical Center" pro le annos 1950 a 1954. Le Centro es un hospital general de 1.000 lectos pro patientes indigente a Shreveport in Louisiana. Le numero total del admissiones esseva 27.522. Le diagnose de acute febre rheumatic esseva establite in 162 casos (0,59%). Le proportion de febre rheumatic esseva 1 caso inter 170 admissiones. Iste proportion es nettemente comparabile al proportion de 1 a 160 constatate pro le mesme periodo al Hospital Charitative de New Orleans. Durante le periodo ab 1910 a 1925 le correspondente proportion al Hospital Charitative de New Orleans esseva 1 a 161, e al Hospital General de Massachusetts illo esseva 1 a 170.
Le total de 162 diagnoses de acute febre rheumatic includeva 20 patientes blanc e 142 patientes negre. Nos opina que le alte incidentia de patientes negre esseva le effecto del relativemente basse nivello economic del population negre in iste area con le consequentia de plus restringite conditiones domiciliari, un hygiene inferior, e plus alte grados de exposition a infectiones per streptococcos del gruppo A. Le serie total includeva 65 masculos e 97 femininas. Le etates variava inter tres e 39 annos. Le etate median esseva 14 annos. Le plus alte incidentia occurreva inter le quinte e le dece-quarte anno del vita. In 92 casos il se tractava de episodios initial; in 70 casos il se tractava de recurrentias de febre rheumatic. Le plus alte incidentia mensual occurreva in martio e novembre.
Le serie includeva nove mortes, octo in negros, un inter le blancos. Omne le mortes resultava de intractabile discompensation cardiac. Le incidentia de major manifestationes de febre rheumatic esseva arthritis (63,6%), carditis (56,25%), chorea (9,3%), nodulos subcutanee (3,1%), e erythema marginate (0,6%).
Article and Author Information
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↵* Received for publication February 14, 1956.
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From the Department of Internal Medicine, Confederate Memorial Medical Center, Shreveport, Louisiana.
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↵† Chief Resident, Internal Medicine, Confederate Memorial Medical Center.
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↵‡ Assistant Chief of Staff, Internal Medicine, Confederate Memorial Medical Center.
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