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April 5, 1902


JAMA. 1902;XXXVIII(14):877. doi:10.1001/jama.1902.02480140023004

Scarlet fever is one of the most dreaded of all the infectious diseases. It has been estimated that it causes one-twenty-fifth to one-twentieth of the entire mortality in England and America. Since we are unable to prevent the disease, our efforts must be directed toward avoiding the unfavorable attendants of the fever and convalescence and in modifying them in a favorable manner when they occur.

Of all the complications and sequelæ of scarlatina, the most important is the affection of the kidneys. Adolf Baginsky, who is well known as a skilful clinical observer of wide experience, has recently presented the subject of scarlatinal nephritis1 in a masterful manner. His article is founded upon 88 cases occurring in 919 cases of scarlatina observed in hospital during 5 years. In the cases studied the onset of the nephritis occurred from the 6th to the 30th day. In a large proportion of cases