A Clinical Ebservation on Meningitis in Infancy and Childhood

There hundred and twenty five cases of meningitis, in infancy and childhood, consisting of 117 cases of purulent meningitis, 59 cases of aseptic meningitis and 149 cases of tuberculons meningitis, which were admitted to the wonju christian hospital between April 1966 and March 1976, were clinically observed and the following results were obtained. 1.Sex ratio was 2.0:1 in purulent meningitis, and aseptic meningitis and 1.9:1 in tuberculons meningitis. 2. The highest incidence in infancy was purulent meningitis (78.5%) and over 6 years was aseptic meningitis (44.1%) and under 6 years was tuberculous meningitis (71.6%). 3. The seosonal peak incidence was spring and summer for purulent meningitis and summer and winter for aseptic and tuberculer meningitis. 4. Fever was the most comon symptom followed by vomiting, headache, and unconsciousness in that order of frequency and the most common neurologic finding on admission was neck stiffness, kernig's sign, Burudzinsk's sign, etc in three meningitis. 5. Among preceding and associated chiseases, U.R.I. was the common(19.7%) in purulent ans aseptic meningitis (28.8%) and pulmonary tuberculous (24.8%) and miliary tuberculeus (16.1%) in tuberculous meningitis. 6. In C.S.F. examination on admissin day. Cell count were frequent 50~500/mm3 in aseptic meningitis (76.9%) and tuberculous meningitis (80.5%). Sugar levels under 40mg/dl showed 62.5% of cases of purulent meningitis, 76.6% of cases of tuberculous meningitis and 8.5% of cases of the aseptic meningitis. Protein levels were the most common in 100~500mg/dl in the purulent meningitis (61.5%) and the tuberculous meningitis (53%) and under 40mg/dl(54.2%) in the asephicmeningitis. 7. Known mortality rate was 64% for the purulent meningitis, 67.5% for the aseptic meningitis, and complications showed in 7.7% in the purulent meningitis 10% in the tuberculous meningitis.

A Case of Progressive Muscular Dystrophy ( Duchenne type )

The authors have experienced a case of Duchenne type of progressive muscular dystrophy in a 9 year old boy who was presented with significantly increased serum enzymes related to this disedase and musle biopsy findings compatible with muscular dystrophy, reported with review of literatures concerned.

Clinical Studies on Congenital Heart Disease (1964~1975)

The clinical studies were performed on 757 patients who had been admitted to Severance Hospital from May, 1964 to June, 1975 with the diagnosis of congenital heart disease. The following results were obtained; 1. Among 757 patients, cardiac catheterization was performed on 367 patients. 2. Four hundred and thirty eight patients were male and 319 were female. Over half of them were below two years of age, but among 357 cardiac catheterized patients, 137 (37.3%) patients were ranged between 6 to 10 years. 3. V.S.D., Tetralogy of Fallot, P.D.A., A.S.D. were found in order of frequency. 4. Among 757 patients, combined extra-cardiac anomalies were found in 42 patients, and 14 patients were with Downanjx syndrome. 5. Among 367 cardiac catheterized patients, 164 (44.7%) patients had cardiac operations, and among these, 18 (11.0%) patients died including 7 patients of Tetralogy of Fallot.