gitis and abscess of the brain
may result. The ear trouble (otitis) usually occurs during the scaling.
The patient may be up and around. There is a rise of the temperature to
103 or 104 degrees, the patient begins to vomit food and has a headache.
At night the child starts from its crib and cries as if in pain. They do
not always locate the pain in the ear. The face and hands may twitch. The
fever may fall to normal and rise sharply again. Such symptoms should call
for a thorough examination.

Eye.--Inflammation of the (conjunctiva) red membrane of the eyes, often
occurs.

[170 MOTHERS' REMEDIES]

Kidneys.--There may be a mild form of inflammation in the earlier stages.
The severe form comes, if at all, usually in the third week. It occurs in
five to seven per cent of the cases. It may occur in the mildest case, as
such cases are not so closely watched. The first symptom is a slight
bloating of the eyes and face and spreads over the whole body. Sometimes
the swelling is very slight; at other times it is extreme. The urine
diminishes early and sometimes is wholly suppressed. It may be light
colored, smoky or straw colored. This trouble usually runs for weeks. The
patient may get uremia and result fatally.

Heart.--This also may be affected as the valves may become diseased.

Joints.--Rheumatism also may occur, and other complications.

Chorea.--Follows scarlet fever also, especially in girls from twelve to
fifteen years.

Diagnosis.--In most cases it is easy to distinguish from other diseases.
Dermatitis, inflammation of the skin ("Itis" always means inflammation).
In dermatitis the throat symptoms and strawberry tongue are absent.

From Measles.--By the rapid onset, absence of cold symptoms of the nose,
eyes, and bronchial tubes, blotchy eruptions that occur in measles. There
is no strawberry tongue in measles and no coughing at beginning.

Recovery.--The prognosis is favorable in uncomplicated cases. It also
depends upon the character of the epidemic type of the disease. In England
it varies from thirteen to fourteen per cent. In this country it is
sometimes as low as two to four per cent. The kidney trouble is always
feared for it may result in uremia and death, or the acute may be followed
by chronic nephritis or Bright's disease, which will ultimately prove
fatal.

Sanitary Care of Room and Patient.--If you are exposed to this disease
what can you do? If a child, it must be put in a room by itself. If
se