Health > Handbook of infectious diseases with notes on prophylaxis, serum treatment and vaccination

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HANDBOOK OF INFECTIOUS DISEASES
2. Cultures (aerobic and anaerobic) from the urine taken
aseptically. Examination of urinary sediment (albumin,
granular cylinders) must not be overlooked.
3. Repeated blood counts and blood cultures.
Treatment : Early serum treatment corresponding to the
causal germ (anti-streptococcus serum, antiperitonitis
serum or a combination of both (pp. 254 and 262). Repeated
immuno-transfusions (p. 269).
Vaccination treatment with stock vaccine or with auto¬
vaccine (p. 239). Local dressings with streptococcal filtrates
(p. 241) or polymicrobic bouillon-vaccine (Delbet) (p. 241).
Sulphonamides alone or in combination (p. 282). The
necessary gynaecological treatment (drainage, curettage,
etc., hysterectomy).
Prophylaxis : Careful disinfection of pathological exudates
and contaminated fomites and clothing. Avoid contact
with carriers of streptococci (latent or visible infection).
ACUTE RHEUMATIC FEVER
Detailed international nomenclature (1938) : No. 58.
Latin = Rheumatismus articulorum acutus, Febris
rheumatica.
French = Rhumatisme articulaire aigu.
German = Akuter fieberhafter Gelenkrheumatismus.
Ital. — Reumatismo articolare acuto febbrile.
Roum. — Reumatism polyarticular acut febril.
Span. = Reumatismo articular agudo febril.
An infectious, febrile disease, characterised by multiple
arthritis often complicated by cardiac lesions.
Etiological agent : Not yet determined (streptococcus.
Streptococcus viridans (?)).
Probable origin of the infection : sore throat and inflam¬
matory dental foci.
Incubation : 1 to 3 weeks (?).