During the course of the studies on the children's cold which occurred in Tokyo area from January, 1956 to February, 1958, the epidemiology and clinical picture of the 46 casese, the diagnosis of HVJ infection of which was serologically confirmed, were observed. The following results were thus obtained.
1) When the seasonal pattern of the prevalence of HVJ infection was investigated, a clear tendency of greater prevalence in winter both in the absolute number of cases and in the frequency as against the total number of cases of cold was recognized. In other words, the relative frequency of HVJ infection against the total number of cases of cold in winter was 12 cases (13.3%) out of 90 which were found during the period from January to March, 1956, and 11 cases (22.4%) out of 49 which were found during the period from December, 1956 to March, 1957, and 13 cases (10.9%) out of 119 which were found during the period from December, 1957 to February, 1958. In summer, it was 2 cases (3.3%) out of 60 during the period from June to September, 1956, and 3 cases (3.3%) out of 92 during the period from June to September, 1957. The greater prevalence of HVJ infection during winter is a matter of great interest when considered from the reports on the past epidemic of HVJ pneumonia among new-borns and infants which occurred in Tokyo area, because it suggests difference by area and season.
2) The pattern of occurrence by age of HVJ infection was next investigated. During the stage of infant of below 1 year of age, it was 5(7.6%) out of 66 cases, during the stage of child of 1 to 5 years of age, 20(8.5%) out of 236 cases, and during the primary school age (6 years old and above), it was 21(7.5%) out of 281 cases. Thus, no difference by age of the HVJ infection was noted.
3) The pattern of occurrence of HVJ infection by sex was next studied. The number of male cases was 19 or 41.3% and that of female cases was 27 or 58.7%. Thus, no significant difference between the sexes was recognized.
4) The HVJ infection cases were classified by the clinical pictures. There were 13 cases (28.3%) of acute pharyngitis, 4 cases (8.7%) of acute pharyngo-tonsillitis, 1 case (2.2%) of acute pharyngolaryngitis, 24 cases (52.2%) of acute bronchitis and 4 cases (8.7%) of bronchopneumonia. When these types were observed by age groups, it demonstrated during the infants stage acute bronchitis or bronchopneumonia in all cases, while there were no case showing pneumonia among primary school children, but about half of them showed acute pharyngitis or tonsillitis. Thus, difference in the clinical picture was clearly shown by various age groups.
5) Excepting severe cough, no particularly different findings were observed when each of the symptoms of HVJ infection was compared with those of the ordinary cold. In all cases, the prognosis was favorable. As complications, 2 cases of acute nephritis, 1 case of recurrent nephritis, 1 case of aggravated nephrosis, 1 case of acute otitis media and 1 case of recurrent-vomiting, totalling 6 cases (13.0%) were recognized. These complications were all ameliorated or cured by treatment.
6) In the chest X-ray pictures, transient exsudative pictures which are indistinguishable from those observed in the cases of the primary atypical pneumonia were recognized in 10 out of 27 cases examined.
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