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. | Ætilogy. | History. | Stale on Admission. | Course and Complications. | Treatment. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
50 | 19 | F | 3 | Mar. 9 | 33 | R | - | Croup on March 6th. | Tonsils enlarged and covered with thick adherent membrane,which extended on to uvula and soft palate. Considerable laryngeal obstruction Heart unaffected. One-third of albumenin urine. Knee-jerks absent. | 11th, throat about the same, some membrane came through tube. 13th, throat much cleaner. March 20th, food entered larynx. No further complications except some transient urticaria. | Antitoxin 20 c.c. Tracheotomy. March 10th, antitoxin 10 c. c. March 13th, injection repeated. 20th, nasal feeding for 10 days. | Bacteriologically confirmed. |
51 | 23 | M | 6 | Mar. 24 | 2 | D | - | Bronchitis on 21st, | No membrane visible. Throat red and congested. Considerable laryngeal obstruction. Heart unaffected-Trace of albumen in urine. | Tracheotomy performed and patient was comfortable for 12 hours after, when vomiting and syncopal attacks occurred, and he died 36 hours after admission. | Antitoxin 20 c.c. injected. | Bacteriologically confirmed. |
52 | 25 | F | 3 | Mar. 31 | 25 | R | - | Face and neck swollen on March 30th. | Tonsils enlarged and red, yellowish grey patches on both. Cervical glands enlarged. Colour good. Heart and lungs unaffected. No albumen in urine. Temp. 103, pulse 144, resp. 36. | On April 2nd, throat was quite clean, and child appeared well. On April 3rd, temp, rose to 103, accompanied with a fresh exudation on both tonsils of thick easily detached yellow membrane. On April 5th, several large tough pieces of membrane were syringed from throat, but it quickly re-formed; glands much enlarged; face pale; heart irregular; breath foul and general systemic infection. On 7th, throat much cleaner and less offensive and membrane pultaceous. On 9 th, throat clean, general condition good. 14th, 2 slight attacks of syncope; trace of albumen in urine for 5 days. | Throat swabbed with solution of perchloride of mercury twice a day and syringed with boracic lotion. April 3rd, throat sprayed with iodine and carbolic acid. April 6th, antitoxin 20 c.c.injected. April 8th, antitoxin 10 c.c. injected. | Bacteriologically confirmed. |