It is evident from reports coming from various Army cantonments1 that measles, because of the severity and frequency of its complications, must be regarded as a serious camp disease. Complications necessitate long hospitalization and cause, therefore, a high noneffective rate; bronchopneumonia and empyema have been responsible for many deaths. With surprising uniformity, the complications have been due to infection with a hemolytic streptococcus.
In the report of a commission2 sent by the Surgeon-General of the Army to study the pneumonia at San Antonio, Texas, two significant facts concerning the relation of the streptococcus to the complications of measles were pointed out: First; a relatively small number of measles patients (11.4 per cent.) harbored this organism in their throats on admission to the hospital; second, many more acquired S. hemolyticus in their throats for the first time during their stay in the wards. It was therefore inferred that at
LEVY RL, ALEXANDER HL. THE PREDISPOSITION OF STREPTOCOCCUS CARRIERS TO THE COMPLICATIONS OF MEASLES: RESULTS OF SEPARATION OF CARRIERS FROM NON-CARRIERS AT A BASE HOSPITAL. JAMA. 1918;70(24):1827–1830. doi:https://doi.org/10.1001/jama.1918.26010240008008b
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