All issues > Volume 22(1); 1979

Original Article

J Korean Pediatr Soc. 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

¹Department of pediatrics, National Medical Center, Seoul, Korea.

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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