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 recent years—(continued).
No. | Place of treatment. | Patient. | Sex. | Age. | Date of attack. | No. of day before applying for treatment | Seat of Charbon. | Condition of adjacent parts. | Constitutional symptoms. | Where employed. | Occupation. | Apparent source of infection. | Treatment. | Result. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
40 | Guy's Hospital | W. E. N | M. | 28 | Dec. 22 1883 | 2 | Right cheek | Œdema | None | Fenning's wharf | Waterside labourer | Australian sheep's wool | Excision | Cured | |
41 | Guy's Hospital | H. B. | M. | 59 | Dec. 27 1883 | 1 | Right cheek | Stiff and swollen. Enlarged glands | None | Messrs. Flack and Chandler | Hide sorter | Hides | Excision, Paquelin's cautery | Cured | |
42 | Guy's Hospital | J. R. | M. | 48 | Feb. 13, 1884 | 3 | Neck | Œdema | Vomiting | Messrs. Barrow | Tanner | Bombay kips | Excision, zinc chloride | Died Feb. 17 | P. M. Œdema of mediastinum, ulceration of stomach |
43 | Guy's Hospital | G. R. | M. | 33 | Mar. 11, 1884 | 6 | Left cheek | (Edema, slough, vesicles and enlarged glands in neck | Temperature was 100° | Messrs. Anning & Cobb | Hide broker's labourer; is engaged in baling hides | Had been working with Bombay kips, opossum skins, and Cape hides | Excision, zinc chloride | Cured | |
44 | Guy's Hospital | M. W. | M. | 26 | Mar. 15, 1884 | 3 | Right side of neck | Oedema and central black slough with circle of vesicles | Nil | Messrs. Flack and Chandler | Hide broker's labourer | Chinese kips | Excision, zinc chloride | Cured | |
45 | Guy's Hospital | W. B. | M. | 39 | Mar. 27, 1884 | 4 | Right side of neck | Œdema | Pyrexia and coma | Messrs. Flack and Chandler | Warehouseman | Chinese kips | Excision and ipecacuanha | Died | P. M. Œdema of mediastinum, anthrax of small intestine |
46 | St. Bartholomew's Hospital | J. L. | M. | 42 | Mar. 27, 1884 | 11 | Behind right ear | Œdema and brawny swelling | Vomiting, temperature, 101'4° | ... | Waterside labourer | Apparently the same kips as in the two cases above. | Excision | Cured | No bacilli found. |
47 | Guy's Hospital | A. W. | M. | 46 | Mar. 31, 1884 | 3 | Neck | Œdema | ... | Butler's wharf | Leather carrier | Patient attributed it to rabbit skins, but he had been carrying Chinese kips, buffalo, and other hides. | Excision, zinc chloride. Tracheotomy | Died | P. M. Œdema of larynx, hæmorrhage in stomach. |
48 | Guy's Hospital | D. C. | M. | 54 | April 4, 1884 | 2 | Back of left hand | Œdema | Nil | Gun and Shot wharf | Hide warehouseman | Arsenicated skins from China and Cape | Excision, zinc chloride | Cured | |
49 | Guy's Hospital | W. S. | M. | 37 | April 7, 1884 | 2 | Back of right hand. | Œdema | Enlarged supracondyloid glands | Messrs. Beresford and Co., St. O1ave's wharf | Tanner | Hides from China | Excision. Incisions in fore-arm and potassa fusa to wound | Cured | |
50 | Guy's Hospital | J. P. | M. | 44 | April 13, 1884 | 5 | Back of neck | Slight oedema | Slight vomiting; " out of sorts" | Warehouse in Tooleystreet | Hide sorter | Hides | Excision and strong carbolic acid | Cured | |
51 | Guy's Hospital | P. G. | M. | 23 | April 17, 1884 | 3 | No externa] wound | ... | Temperature 10.'6°, coma, convulsions | Nash's wharf | Dock labourer | Chinese kips which he had been unloading | Pot.Brom. Digitalis. Inhalation of chloroform | Died | P. M. Anthrax of lungs, stomach, small intestine, and meninges of brain. |
52 1 | London Hospital | — | M. | 44 | 1884 | — | Angle of jaw | Extensive oedema | Temperature 100°, oedema glottidis | .... | Docker | Engaged in loading a ship with hides a few days before admission to hospital. | ... | Died | Bacilli found. |
53 | London Hospital | — | M. | 38 | 1884 | — | Left side of neck | ... | ... | ... | Lighterman | Engaged in carrying hides | Excised | Cured |