London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1894

[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. iSex.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.
26Mr. Marshalls. —M.52March 4 (about), 18829 (about)NeckSwollen and darkVomiting, restlessness, slight deliriumMessrs. BarrowTanyard labourer(?) Chinese hidesPoulticingDied March 17Constitutional symptoms first appeared on 12th. No post-mortem.
27...C. B.M.50April 6, 18822Under chinGlands on each side swollenHeadache onlyMessrs. BarrowTanyard labourer(?) Chinese hidesPoulticingCuredIn bed two days, off work five weeks.
28Guy's HospitalM. S.M.22April 17, 18823NeckExtensive oedemaDyspnoea. Temp. 101.6°Messrs. BarrowTanner(?) Chinese hidesExcision without cauterisationDied. Swelling increased after operationDied from dyspnoea. No bacilli in blood or serum. No post-mortem.
29Guy's HospitalJ. J.M.29July 25, 18821NeckDiffused redness and oedema.Faint, profuse sweats. Temp. 102-4°Butler's wharfLabourer(?) Chinese hidesExcision and cauterisationCuredDuring convalescence pain in legs with bluish red patches ; slight diarrhoea.
30Guy's HospitalT. E.M.28Aug. 8, 18828CheekFace, neck and cervical glands swollen(Before admission) headache, shiveringButler's wharfLabourer(?) Chinese hidesExcisionCuredThe pustule developed at seat of old wound that had healed about six weeks before.
31Guy's HospitalD. C.M.18Oct. 27, 18823NeckMuch swellingOn admission Temp. 102.2°. Oct. 31, Temp. 104.6°Gun and Shot wharfLabourer(?) Chinese hidesExcision and cauterisationCured
32Guy's HospitalG. B.M.31Dec. 10, 18823NeckA few small glandsShivering, headache. Temp. 101.8°A Thames wharfLabourerCarrying dry hidesExcision, caustic potashCured
33Dr. DouglasJ. W.M.30Dec. 10 (about), 18826NeckSwollenHeadache, shiveringButler's wharfForeman(?) Chinese hidesPoulticesCuredCame to work every day, but felt very ill.
34Dr. GittinsD. T.M.44Jan. 9, 18833? Internal Anthrax...Profuse and foetid perspirations, great restlessness, vomiting, dyspnoea, cyanosis, tetanic spasmsMessrs. Anning and CobbSorter's labourer(?) Chinese hidesDied Jan. 13Jan. 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.
35Guy's HospitalG. P.M.50Feb. 1, 18831Left lower eyelidŒdemaTemp. 99° to 102°Messrs. BarrowCarries the skins, after undoing the bales, to the pits(?) Chinese hidesExcisionCuredConsiderable inflammation and sloughing, which resulted in ectropion, followed operation. ft
36Guy's HospitalA. B.M.43Feb. 15, 18835CheekPuffy swelling, enlarged glandsRigor, delirious at night, coughMessrs. Flack and ChandlerSorter's labourer(?) Chinese hidesExcision and cauterisationCuredBacilli found in all the excretions.
37Guy's HospitalW. S.M.33Feb. 22, 18834CheekEnlarged glands beneath jaw; oedema down to clavicleShivering, lividity of extremities. Temp. 100.2°Messrs. Flack and ChandlerSorter's labourer(?) Chinese hidesExcision and cauterisationDied Feb. 26 .Secondary affection of intestine, stomach, and lungs.
38Guy's HospitalB. M.F.14May —, 18836Upper lipSwollen and brawny glands enlargedNone...UnhairerEnglish and Australian rabbit skinsExcision and cauterisationCuredThe centre of the pustule was black, but there was no secondary ring of vesicles. No organisms discovered in blood or serum.
39Guy's HospitalE. W.M.37July 23, 18834CheekSwollen red and tense. A few enlarged submaxillary glandsNoneMessrs. Flack and ChandlerSorter's labourer(?) Chinese hidesExcision and cauterisationCuredBacilli found.