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 VIII. —Cases admitted as Diphtheria but not subsequently confirmed.
No. | Register No. | Sex. | Age. | Date of Admission. | Days in Hospital. | Result. | Ætiology. | History. | State on Admission. | Course and Complications. | Treatment. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 279 | F | 31 | 1894. Dec. 28 | 15 | R | Subject to sure throat. Daughter admitted at same time with diphtheria. | Sore throat on Dec. 26th. | Throat red. Tonsils enlarged. 2 small white patches on right side. No albuminuria. | No complications. | Throat swabbed with glycerine of carbolic acid $ per cent. | |
2 | 13 | F | 3 | 1895. Feb. 14 | 28 | R | - | Had a fit on Feb. 13th. Throat bad on 14th. | Tonsils red and congested. A patch of grey adherent membrane on each. Cervical glands enlarged. Colour good. Heart unaffected. A little bronchitis. No albuminuria. Knee-jerks present. | No complications. | Steam tent, &c. Throat swabbed with solution of perchloride of mercury 1 in 500, and syringed with boracic lotion. | |
17 | F | 9 | Feb. 20 | 19 | R | Considerable amount of throat illness in the vicinity. Child attended St.Saviour's school, being in same class with a girl now in hospital with confirmed diphtheria. | Headache on Feb. 16th. Sore throat on 17th. | Tonsils enlarged and covered with thick yellow loosely-attached exudation. Cervical glands enlarged. No. albuminuria. Reflexes well marked. | No complications. | Throat swabbed with solution of perchloride of mercury, and syringed with boracic lotion. | ||
4 | 18 | F | 10 | Mar. 7 | 26 | R | School attendance. | Headache on March 6th. Sore throat on 7th. | Both tonsils covered with white adherent membrane. Glands slightly enlarged. Colour good. Reflexes absent | March 9th a large piece of membrane syringed away from throat leaving a raw bleeding surface, over which fresh exudation occurred next day. 15th, throat clean, a good deal syringed away. | Throat swabbed with solution of perchloride of mercury 1 in 500, and syringed with boracic lotion. | Though bacterio-logocally unconfirmed, there was no clinical distinction from diphtheria. |
5 | 20 | F | 8 | Mar. 18 | 65 | R | - | - | A few small yellow patches on tonsils. A good deal of laryngeal stridor and obstruction Temp. 103 Knee-jerks absent | Tracheotomy performed, several large pieces of membrane coughed up, through tube. March 22nd, liquids entered larynx. 25th,wound unhealthy and sloughy, offensive smell, septic temperature, lasted 3 days. April 10th, developed endocarditis, which subsided, and eventually she made a good recovery. | Antitoxin 20 c.c. injected. Tracheotomy. 25th,nasal feeding. | Developed scarlet fever rash 36 hours after admission. Temp, high for several days. Though cultivations taken from throat yielded no typical bacilli there was no clinical distinction from diphtheria co-existent with scarlet fever. |