Indian Childhood Cirrhosis

has been followed by death, or failure to control the disease, in 17% of the patients in group 2, in contrast with a 1% mortality in group 1. Of the six patients who still have active disease in group 2, one had fully sensitive organisms, but stopped his drugs three months after operation; one had organisms resistant to all three; and the remaining four had organisms resistant to two antibiotics. Mortality.-The one death in group 1 occurred in a patient with sensitive organisms, a man of 55 who died suddenly of acute dilatation of the stomach the day after operation. The organisms of six of the seven patients who died in group 2 showed significant resistance. One died of uncontrollable haemorrhage after a lobectomy, believed to be due to hypoprothrombinaemia, and one died during operation of ventricular fibrillation. The other four died of tuberculous complications (broncho-pleural fistula in two, and uncontrollable spread of disease in two). The specimen of the seventh patient, who died of respiratory insufficiency, was culture-negative.

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