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pp.375-381
Published Date 1949/10/20
DOI https://doi.org/10.11477/mf.1492200243

Iinuma found 62 deaths or 5.6 % among the series of 1092 cases of diphtheria that had been diagnosed and treated, since 1933 to 1948 inclusive, at the Otolaryngological Department of the Fuku-shima Women's Medical College. The route of in-vasion in these cases are as follows: Eyes, 2; ears 4; bronchi, 120; nose, 153; larynx, 249; and, pha-rynx, 862 cases. Thirty six cases are found of malignant diphtheria, the 19 of which are met with death.

Causatige agents for the malignant type may not be, blamed to the presence of corynebacterium diphtheriae alone, but other bacilli such as stre-ptococcus homolyticus should be regarded with much weight. The use of diphthria antitoxin is without question the prime importance, but the therapy directed against the malignent type of diphtheria calls forth supplementary use of other agents such as, penicillin, sulfa-derivitives, cardiac tonics, vitamin B conpounds, and, antistrepto-coccic serums with equal.


Copyright © 1949, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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