Boxall (Br. Gyn. J.) in sixteen cases of scarlet fever in childbed found
septic manifestations in but one. In forty lying-in patients exposed to
the scarlatinal poison the puerperium was entirely normal. Three hundred
patients or more were admitted to the hospital during the epidemic of
scarlatina therein, yet a comparison of the morbidity during this time
with that which immediately preceded the outbreak showed that the
prevalence of scarlet fever in the hospital exerted no appreciable
effect upon the course of the puerperium in patients who escaped
scarlatina.
Galabin (Br. M. J.) thinks there is strong evidence of the bacterial
relation of puerperal sepsis to scarlet fever. Septicæmia does not
represent a distinct entity like scarlatina. Cheyne found the common
microbes of suppuration in the blood of scarlet fever patients not
infrequently.