Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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Anthrax cases in recent years—(continued).
No. | Place of treatment. | Patient. i | Sex. | Age. | Date of attack. | No. of days before applying for treatment. | Seat of Charbon. | Condition of adjacent parts. | Constitutional symptoms. | Where employed. | Occupation. | Apparent source of infection. | Treatment. | Result. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
26 | Mr. Marshall | s. — | M. | 52 | March 4 (about), 1882 | 9 (about) | Neck | Swollen and dark | Vomiting, restlessness, slight delirium | Messrs. Barrow | Tanyard labourer | (?) Chinese hides | Poulticing | Died March 17 | Constitutional symptoms first appeared on 12th. No post-mortem. |
27 | ... | C. B. | M. | 50 | April 6, 1882 | 2 | Under chin | Glands on each side swollen | Headache only | Messrs. Barrow | Tanyard labourer | (?) Chinese hides | Poulticing | Cured | In bed two days, off work five weeks. |
28 | Guy's Hospital | M. S. | M. | 22 | April 17, 1882 | 3 | Neck | Extensive oedema | Dyspnoea. Temp. 101.6° | Messrs. Barrow | Tanner | (?) Chinese hides | Excision without cauterisation | Died. Swelling increased after operation | Died from dyspnoea. No bacilli in blood or serum. No post-mortem. |
29 | Guy's Hospital | J. J. | M. | 29 | July 25, 1882 | 1 | Neck | Diffused redness and oedema. | Faint, profuse sweats. Temp. 102-4° | Butler's wharf | Labourer | (?) Chinese hides | Excision and cauterisation | Cured | During convalescence pain in legs with bluish red patches ; slight diarrhoea. |
30 | Guy's Hospital | T. E. | M. | 28 | Aug. 8, 1882 | 8 | Cheek | Face, neck and cervical glands swollen | (Before admission) headache, shivering | Butler's wharf | Labourer | (?) Chinese hides | Excision | Cured | The pustule developed at seat of old wound that had healed about six weeks before. |
31 | Guy's Hospital | D. C. | M. | 18 | Oct. 27, 1882 | 3 | Neck | Much swelling | On admission Temp. 102.2°. Oct. 31, Temp. 104.6° | Gun and Shot wharf | Labourer | (?) Chinese hides | Excision and cauterisation | Cured | |
32 | Guy's Hospital | G. B. | M. | 31 | Dec. 10, 1882 | 3 | Neck | A few small glands | Shivering, headache. Temp. 101.8° | A Thames wharf | Labourer | Carrying dry hides | Excision, caustic potash | Cured | |
33 | Dr. Douglas | J. W. | M. | 30 | Dec. 10 (about), 1882 | 6 | Neck | Swollen | Headache, shivering | Butler's wharf | Foreman | (?) Chinese hides | Poultices | Cured | Came to work every day, but felt very ill. |
34 | Dr. Gittins | D. T. | M. | 44 | Jan. 9, 1883 | 3 | ? Internal Anthrax | ... | Profuse and foetid perspirations, great restlessness, vomiting, dyspnoea, cyanosis, tetanic spasms | Messrs. Anning and Cobb | Sorter's labourer | (?) Chinese hides | Died Jan. 13 | Jan. 9. Shivering, nausea, pain in back. Jan. 10. Went to work. Jan. 11. Felt very unwell, neck seemed a little puffy. Jan. 12. Perspirations, &c.,setin. Jan. 13. Died, apparently asphyxiated. Mr. Spear regarded the case as probably one of internal anthrax. | |
35 | Guy's Hospital | G. P. | M. | 50 | Feb. 1, 1883 | 1 | Left lower eyelid | Œdema | Temp. 99° to 102° | Messrs. Barrow | Carries the skins, after undoing the bales, to the pits | (?) Chinese hides | Excision | Cured | Considerable inflammation and sloughing, which resulted in ectropion, followed operation. ft |
36 | Guy's Hospital | A. B. | M. | 43 | Feb. 15, 1883 | 5 | Cheek | Puffy swelling, enlarged glands | Rigor, delirious at night, cough | Messrs. Flack and Chandler | Sorter's labourer | (?) Chinese hides | Excision and cauterisation | Cured | Bacilli found in all the excretions. |
37 | Guy's Hospital | W. S. | M. | 33 | Feb. 22, 1883 | 4 | Cheek | Enlarged glands beneath jaw; oedema down to clavicle | Shivering, lividity of extremities. Temp. 100.2° | Messrs. Flack and Chandler | Sorter's labourer | (?) Chinese hides | Excision and cauterisation | Died Feb. 26 . | Secondary affection of intestine, stomach, and lungs. |
38 | Guy's Hospital | B. M. | F. | 14 | May —, 1883 | 6 | Upper lip | Swollen and brawny glands enlarged | None | ... | Unhairer | English and Australian rabbit skins | Excision and cauterisation | Cured | The centre of the pustule was black, but there was no secondary ring of vesicles. No organisms discovered in blood or serum. |
39 | Guy's Hospital | E. W. | M. | 37 | July 23, 1883 | 4 | Cheek | Swollen red and tense. A few enlarged submaxillary glands | None | Messrs. Flack and Chandler | Sorter's labourer | (?) Chinese hides | Excision and cauterisation | Cured | Bacilli found. |