Læknablaðið - 01.03.1963, Page 58

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LÆKNABLAÐIÐ
Larusson, G. and Jonsdottir, K. E.
Bacterial Meningitis.
SUMMARY IN ENGLISH.
The pertinent literature on Bac-
terial Meningitis is reviewed briefly.
The mortality rate is still high, but
is coming down. Different forms
of treatment are discussed.
During a 6 year period (1956 to
the end of 1961) 48 patients have
been treated for Bact. Meningitis
at the Reykjavík City Hospital. Two
or more drugs have always been
used. Intrathecal medication has not
been used.
Positive spinal cultures were
obtained in only 31.9%. Two pa-
tients died. One (9 months old)
from Waterhouse-Friedrichen Syn-
drome 3 hours after admission. The
other (7 years old) did not have
evidence of Bact. Meningitis in the
spinal fluid until at autopsy. He
died 12 hours after admission. The
mortality rate is thus 4,1% for this
series. Preliminary follow-up on 40
patients, reveals possible sequelae
in 8, and definite mental and phy-
sical retardation in 1.
HEIMILDIR:
1. Bradford, W. L.,: Nelson: Text-
book of Pediatrics, 7. útg. 1960,
bls. 428 og 430.
2. Gunnison, J. B. o. fl.; tilvitnun
hjá Welch, H. C. í Mayo Clinic
Seminars: Clin. Med. 1956—57,
bls. 20.
3. Javets; tilvitnun hjá Haggerty,
R. J. og Ziai, M.: Pediatrics 25:
5: 742, May 1960.
4. Lepper, M. H. og Ðowling, H.
F.: Arch. Int. Med. 88: 489,1951.
5. Haggerty, R. J. og Ziai, M.:
Pediatrics 25:5:742, May 1960.
6. Gardborg, O. og Aas, K.: Nor-
disk Medicin 67: 24: 765, June
1962.
7. Dowling, H. F. o. fl.: Am. Journ.
Med. Science 217:149, 1949.
8. Weinstein, L. o. fl.: Med. Clin.
N. Am. 37:1363, 1953.
9. Desnit, E. M.: Arch. Dis. Child-
ren 30:415, 1955.
10. Hazlehurst, G. N.: Am. Rev. of
Tbc. and Pulm. Dis. 71:12, Jan.
1955.
11. Johnson, .A. J.: New Engl.
Journ. Med. 260: 893, April 1959.
12. Eigler, J. O. C. o. fl.: Proc. Staff
Meet. Mayo Clinic 36: 15: 357,
July 1961.
13. Quaade, F. og Kristensen, K. P.:
Ugeskr. for Læger 39: 1341,
Sept. 1961.
14. Iuel, J.: Ugeskr. for Læger 39:
1348, Sept. 1961.
15. Groover, R. V. o. fl.: New Engl.
Journ. Med. 264: 1115, June
1961.
16. Smith, E. S.: J. Pediat. 45:425,
Oct. 1954; tilvitnun hjá Eigler
o. fl. Sjá ofar.
17. Detmold, J. G.: Arch. Kinderh.
151:27, 1955; tilvitnun hjá Eig-
ler o. fl. Sjá ofar.
Frá Borgarspítalanum,
Reykjavík.
Orðsending frá L. I.
Að endurteknu tilefni eru
læknar minntir á að gæta ýtr-
ustu varfærni í öllu umtali um
sjúklinga sína, jafnvel þó að
samþykki þeirra liggi fyrir. 1
því sambandi vísast til Alþjóða-
siðareglna lækna og Genfarheits
lækna (sjá Codex ethicus), laga
nr. 47/1932 og lil Læknablaðs-
ins, 38. árg. 1954, bls. 97—111.
Stjórn L. í.