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Dr. Rambert has made a careful study of the encephalomyelitis associated with scarlet fever. This is extremely rare, the cases numbering about 50 in all. There is no characteristic clinical picture in the encephalitis of scarlet fever, but a certain number of clinical forms may be differentiated; these are the hemiplegic, convulsive, psychotic, ataxic, diffuse, ocular, neuritic and meningitic types. The acute psychoses are characterized by early onset, frequence of severe delirium and catatonia and gravity of prognosis for life but complete cure in case of survival. The chronic forms offer little hope of improvement. Ataxic forms appear early, with a good prognosis for complete recovery. The diffuse forms are more often fatal, but when recovery occurs it is usually complete. Other clinical forms are rarely pure. The prognosis is always reserved, for 15 per cent of all patients die and 41 per cent show definite sequelae. The date of
Les encephalomyelites de la scarlatine.. Am J Dis Child. 1938;55(5):1132-1133. doi:10.1001/archpedi.1938.01980110238023