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21
Cerebro-Spinal Meningitis.
17th July, 1915, Male, aged 29 years.
Extract from the Notes on this case:—
A barman, has acted as manager. Illness commenced 8th July, 1915.
First symptoms. Vomiting 8th July (?).
Coma on admission to Hospital. Delirious at intervals.
Retraction of head.
Kernig’s sign; also knee jerk.
Operation for nasal trouble about two months previously.
Has not been away from London during the past month.
Eruption mainly on limbs.
Eleven persons in house occupying seven rooms, patient had a room to himself. The
household consisted of one female housekeeper, aged 40 years, and ten males,
ages varying from 22 to 40 years.
The house was in fair condition, was not verminous. One cat was kept.
Disinfection was carried out.
Other inmates of the house were all well.
Nothing can be ascertained as to association of the patient with any other suspicious
cases of illness.
The patient was admitted to St. Bartholomew's Hospital, 10th July, 1915.
The result of examination of the blood—diplococcus was found in fresh films of
cerebro-spinal fluid, which grew in cultures.
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912.
From the accompanying table it will be gathered that 33 new cases of Tuberculosis
were reported, and that of these 27 were of the pulmonary variety and 6 non-pulmonary.
These cases have been visited as in the past, and assistance has been rendered
where practicable.
The chief new work has been the establishment of a Dispensary at
St. Bartholomew’s Hospital, and in addition to the treatment at the Dispensary the
Nurse attached to that Institution visits the patients at their homes by arrangement
with the medical practitioner in charge of the case.
On the whole it will be seen that the Dispensary has been of considerable utility,
and I append hereto a Report which has been prepared by Dr. Gibbins, the Tuberculosis
Officer in charge of the work, which gives full details in the form required by the
Local Government Board.