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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Table 1.
Case no. | Initials, age and sex. | Day of disease admitted. | Distribution of membrane. | A.D.S. administered (units and route). | Toxæmic stage. | Cardiovascular manifestations (Day of onset). | Paralytic manifestations (Day of onset). | Drinker operating. | Result. | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Day of disease. | Duration in days. | |||||||||||
1 | A.C., 6, M. | 4th | Oropharyngeal | 56,000 I.M. | Severe | Complete heart block | (12) | Palate | (31) | 46th | 7 | Recovery. |
64,000 I.V. | Eyes | (45) | ||||||||||
Diaphragm | (46) | |||||||||||
2 | V.A., 6, F. | 4th | Oropharyngeal | 120,000 I.M. | Severe | Myocarditis | (9) | Palate | (37) | 49th | 1 | Death. |
Nasal. | 40,000 I.V. | Intraventricular block | (10) | Heart | (44) | |||||||
Pharynx | (44) | |||||||||||
Diaphragm | (49) | |||||||||||
3 | H.C., 16, M. | 3rd | Oropharyngeal (mixed streptococcal infection). | 112,000 I.M. + | Moderate | - | Palate | (43) | 50th | 1 | Death (P.M.). | |
20 c.c. A.S.S. | Pharynx | (47) | ||||||||||
Diaphragm | (50) | |||||||||||
4 | E.D., 3, F. | 3rd | Oropharyngeal | 56,000 I.M. | Severe | Complete heart block. | Palate | (17) | 45 th | 7 | Recovery. | |
Nasal. | 36,000 I.V. | Myocarditis | (7) | Pharynx | (17) | |||||||
Heart | (34) | |||||||||||
Eyes | (41) | |||||||||||
Face | (44) | |||||||||||
Pharynx | (44) | |||||||||||
Diaphragm | (44) | |||||||||||
5 | P.L., 2 5/12, F. | 6th . | Oropharyngeal | 56,000 I.M. | Severe | Intraventricular block. | Palate | (36) | 44th | 4 | Recovery. | |
40,000 I.V. | Myocarditis | (9) | Pharynx | (36) | ||||||||
Heart | (42) | |||||||||||
Diaphragm | (42) | |||||||||||
Eyes | (44) | |||||||||||
Face | (47) | |||||||||||
6 | B.B., 3, M. | 5th | Oropharyngeal | 64,000 I.M. | Moderate | - | Heart | (40) | 47th | 8 | Recovery. | |
Pharynx | (47) | |||||||||||
Diaphragm | (47) | |||||||||||
7 | N.F., 4, F. | 4th | Oropharyngeal | 96,000 I.M. | Moderate | - | Palate | (38) | 44th | 2 | Death. | |
Pharynx | (44) | |||||||||||
Diaphragm | (44) | |||||||||||
8 | T.S., 5, M. | 4th | Oropharyngeal Nasal. | 80,000 I.M. | Severe | Myocarditis | (7) | Palate | (21) | 37th | 15 | Recovery. |
64,000 I.V. | Pharynx | (29) | ||||||||||
Eyes | (32) | |||||||||||
Diaphragm | (36) |
A.D.S.—Antidiphtheritic serum. A.S.S.—Antiscarlatinal serum.
I.M.—Intramuscularly. I.V.—Intravenously.