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 Croydon]
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Table VII.— Cases of Diphtheria admitted during official year, April 1st, 1894, to March 31st, 1895.
No. | Register No. | Sex. | Age. | Date of Admission. | Days in Hospital. | Result. | Ætiology. | History. | State on Admission | Course and Complications. | Treatment. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
42 | 2 | F | 8 | Jan. 3 | 66 | R | - | Sore throat on Jan. 1st. | Both tonsils enlarged and red. A small white patch on left tonsil. Glands at angle of jaw enlarged. Colour good. Heart and lungs normal. No nasal discharge. Reflexes present. | Jan. 10th, throat clean. Jan. 24th, irregularity and intermission of heart sounds. Systolic-apical murmur, which continued until Feb. 27th. Feb. 5th, paralysis of accomodation. Knee-jerks present. No regurgitation of food. Trace of albumen in urine for 20 days. | Glycerine of carbolic acid to swab throat. Mixture of digitalis and iron three times a day. | Bacteriologically confirmed. |
43 | 3 | M | 16 | Jan. 3 | 25 | R | - | Sore throat on Dec 31st. | Tonsils and uvula red and swollen. Large patch of membraneon left tonsil and uvula. Ceivical glands enlarged. Colour very good. No constitutional symptoms. | Jan. 7th, membrane extended to right tonsil, and soft palate. Jan. 10th, throat quite clean. No complications. | Glycerine and carbolic acid to swab throat. Nose syringed with salicylic acid lotion. | Bacteriologically confirmed. |
44 | 6 | M | 44 | Jan. 9 | 2 | D | - | Said to have had bronchitis and influenza on Jan. 3rd. Sore throat on the 8th. | Throat very dirty and offensive. Uvula and tonsils œdematous and covered with easily detached tough membrane Nose completely block-ed, dirty and offensive. Glands considerably enlarged. Purulent ophthalmia in both eyes. Impaired resonance and crepitations at both pulmonary bases. Colour pale. Temp. 102. Pulse 128. Resp. 36. | Jan. 10th, Glands in neck considerably more swollen. Face pale and puffy. Large quantity of offensive membrane in throat. Profuse offensive nasal discharge. Heart sounds feeble. Vomited twice. A trace of albumen in urine. Considerable systemic infection. Death occurred from cardiac failure. | Steam tent, etc. Ice bag to neck. Solution of perch-loride of mercury 1 to 500 locally. Nose syringed with boric acid lotion. Jan. 10th, hypodermic injection of digitalin gr. one twenty-fifth. | Bacteriologically confirmed. |
45 | 7 | F | 33 | Jan | 19 | R | Mother of No. 44. | Sore throat for 2 days. | Small patch of membrane on left tonsil. Glands not enlarged No constitutional symptoms. | Jan. 15th, throat quite clean. No complications. No albuminuria. | Throat swabbed with solution of perchloride of mercury. | Bacteriologically confirmed. |