Clinicostatical Observation on Hevolytic streptococcal Infections.
- Author:
Ho Jin LEE
1
;
Hyung Sik MOON
;
Jong Suk LEE
;
Don Hee AHN
;
Keun Chan SOHN
Author Information
1. Department of pediatrics, National Medical Center, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Edema;
Fever;
Glomerulonephritis;
Hematuria;
Humans;
Incidence;
Inpatients;
Male;
Outpatients;
Palatine Tonsil;
Pediatrics;
Pharynx;
Proteinuria;
Purpura;
Rheumatic Fever;
Scarlet Fever;
Seasons;
Streptococcal Infections*;
Suppuration;
Tonsillitis
- From:Journal of the Korean Pediatric Society
1979;22(1):37-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinocostatistical observation was made on 191 cases of inpatients & 42 cases of out-patients, who had beem admitted or controlled but to streptococcal infections & its related diseases at the Department of pediatrics, N.M.C. from Jan. 1971 to Dec. 1977. The results were obtained as follows: 1) The streptococcal infections occupied 3.6% of all the inpatients(5,317) during the period. Among 233 cases, 137 cases(58.8%) were male. The annual incidence was between 1.9% and 4.2%. 2) The related disease entities were acute glomerulonephritis (70.8%), rheumatic fever (18.4%), Henoch-Sh?lein purpura (3.9%), acute tonsillitis (1.7%), scarlet fever (1.3%) and others in order. 3) The peak age incidence was between 7 to 9 year and the seasonal incidence showed prevalance in cold months from October to February. 4) The URI was the most common preceding event both in acrte glomerulonephritis (53.9%) & rheumatic fever (39.5%). 5) The mean interrval between the onset of streptococcal infections and its related diseases of acute glomerulonephritis & rheumatic fever were 6 to 10 days & 11 to 15 days, respectively. 6) The main symptoms of over all streptococcal infections were fever, edema, proteinuria, hematuria & throat injection. 7) Lab. Data showed elevated E.S.R. in 59.7%, leucocytosis in 41.6%, increased ASO titer in 96.6% & positive CRP in 79.4% of the cases. Positive culture from throat swab, CSF or pus were obtained in 18.1% of the cases.