Journal of the Korean Pediatric Society 1977;20(1):43-49.
Published online January 31, 1977.
Clinical Studies of Acute Laryng itis Prevailing on January and February of 1976 in Busan.
Bong Jeong Jun, Chul Ho Kim, Myung Hi Shin, Chong Young Lee
Department of Pediatrics, Wallace Memorial Baptisr Hospital Busan, Korea.
1976년 1, 2월에 부산 지방에 유행한 급성후두염의 임상적 관찰
전봉정, 김철호, 신명희, 이종영
왈레스기념 침례회병원 소아과
Abstract
This is a clinical study of 44 cases of acute laryngitis treated in the department of pediatric, Wallace Memorial Baptist Hospital from Jan. through Feb. 1976, when influenza was nation wide. We observed following results; 1) Among the 44 sases, 23 cases were male and 21 cases were female. There were no sex differences. 2) Families of 26 cases (60%), had influenza at the same time, 40 cases(90%) had preceding U.R.I. and 29cases (66%) had D.P.T. vaccinations more than 3 times. 3) 36cases (82%) were between 7months to 6years of age. 4) The common clinical manifestations were coughing, 40 cases (90%), difficult respiration, 36 cases (82%), retraction of chest wall, 33 cases (75%), hoarseness, 34 cases (77%), and fever, 42 cases(95%). 5) Laboratory findings were as follews; Leukocytosis (over 12,000/mm3) was 13 cases (29%), and leukopenia (under 4,000/mm3) was 2 cases (5%). Pharyngeal culture revealed; no growth, 24 cases (55%), normal flora, 19 cases (43%), and staphylococcus aureus, coagulase + 1case (2%). 6) 29 cases (66%) were improved with cold mist, O2 supply & racemic epinephrine nebulization with IPPB, & 15 cases(34%) required tracheotomy. 7) The complications were1 case of interstitial pneumonia , 1csae of staphylococcal pueumonia & 1 case of pseudomonas pneumonia. The mortality rate was 9%(4 cases). 8) Although we did not do viral studies in these patients (viral study was unable to do in Busan area), in view of the influenza epidemics at the same, time age distribution, clinical manifestations and other laboratory results, we considered that the etiologic agent was probably influenza virus.




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