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Clinicostatical Observation on Hevolytic streptococcal Infections.

Journal of the Korean Pediatric Society 1979;22(1):37-45.
Published online January 15, 1979.
Clinicostatical Observation on Hevolytic streptococcal Infections.
Ho Jin Lee, Hyung Sik Moon, Jong Suk Lee, Don Hee Ahn, Keun Chan Sohn
Department of pediatrics, National Medical Center, Seoul, Korea.
용혈성 면쇄상구균 감염증에 대한 임상 통계학적 고찰
이호진, 문형식, 이종석, 안돈희, 손근찬
국립의료원 소아과
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.


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