London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Croydon 1895
[Report of the Medical Officer of Health for Croydon]
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Table VII.—Cases of Diphtheria admitted during official year, April 1st, 1894, to March 31st, 1895.
| No. | Register No. | Sex. | Age. | Date of Admission. | Days in Hospital. | Result. | Etiology. | History. | State on Admission. | Course and Complications. | Treatment. | Remarks. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 139 | F | 2 | April 14 | 2 | D | Indefinite. No other previous illness in house Sanitary condition good. | Cough and difficulty of breathing 3 days before admission. | Both tonsils swollen, large white patch onright Laryngeal obstruction with intercostal retraction and cyanosis. | Tracheotomy performed and several large pieces of membrane brought up through tube. Vomiting and diarrhœa commenced 011 5th. Death by syncope on 6th. No suppression of urine. | Tracheotomy 3hrs. after admission. | |
| 2 | 140 | M. | 3 | April 10 | 25 | R | Indefinite. No sanitary defects. | Taken ill 4 days previously with "pain in nose." | Tonsils much swollen, with small white patches. On left tonsil was a large easily detached piece of membrane. Cervical glands enlarged. Very acrid nasal discharge. | Voice, nasal, and slight regurgitation on May 1st. Reflexes normal. Trace of albumen in urine for 14 days. | Nose syringed and throat swabbed every hour with solution of citric acid, 10 per cent. A mixture of iron and chlorate of potash, given every 4 hours. | |
| 3 | 147 | F | 18 | April 29 | 20 | R | - | Malaise and feverishness on 27th. Throat a little sore and swollen. | Tonsils much swollen and fauces red and congested. Small white patch on right tonsil. Nasal discharge. | Membrane came away from nose on April 20th. Throat clean on May 10th. Reflexes present. No albuminuria. | Throat swabbed and nose syringed every hour with solution of citric acid. Citric acid given internally. | |
| 4 | 153 | F | I 8 12 | May 9 | 15 | R | Croupy cough on 7th. | Tonsils enlarged and congested. No membrane visible. Deep inspiration, croupy. No dyspnoea. Heart and lungs unaffected. | Pieces of membrane syringed from nose on 10th. Bronchitic rales in both lungs on nth. No albuminuria except a faint trace on May 9th. | Throat swabbed and nose syringed with solution of citric acid every 4 hours. | ||
| 5 | 157 | M | 4 | May 17 | 1½ | D | Manholes in street said to smell badly. Defective drains in surrounding houses. | Been ill 4 days. | Both tonsils much swollen and covered with membrane. Laryngeal obstruction. No nasal discharge A trace of albumen in urine. | Dyspnoea increased. Death occurred 36 hours after admission from syncope. | Throat swabbed with citric acid. Tracheotomy. Steam tent. | |
| 6 | 159 | F | 3 | May 20 | 2 | D | - | Sore throat and croupy cough on May 19th. | Patches of membrane on both tonsils. Cervical glands enlarged Laryngeal stridor. No dyspnœa. A trace of albumen in urine. | Laryngeal obstruction increased. Large quantities of membrane came through tube. Death from syncope. | Tracheotomy. Throat swabbed with solution of citric acid. | |
| 7 | 162 | F | 7 | May 23 | 9 | R | Patient and her brother had measles on 14th. Brother died of croup on 22nd. | Sore throat on May 22nd. | No notes. | - | - |