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 Croydon]
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Table, VII.—Cases of Diphtheria admitted during official year, April 1st. 1891, 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. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
8 | 163 | M | 34 | May 24 | 12 | R | Father of No. 7. Direct contagion from kissing boy who died of diphtheria. House cat killed for throatillness. | Sore throat for 2 days. | Uvula, soft palate and tonsils congested. Small grey patch on left tonsil. | Throat well in 2 days. No albumen in urine. | Throat swabbed with solution of citric acid. | |
9 | 168 | F | 18 | June 9 | 26 | R | - | Throat sore, with pain at angle of jaw, on 8th. | Tonsils swollen and covered with grey patches. Reflexes normal. Heart and lungs unaffected. | Membrane extended on 14th. Throat well by 24th. Albuminuria for 8 days. Complicated with secondary tonsillitis on June 29th. Temp. 101.6, lasted 4 days. | Throat and nose syringed with solution of citric acid. | |
10 | 170 | F | 17 | June 11 | 26 | R | - | Sore throat on 8th. | Tonsils enlarged, small yellowish patches on both. Reflexes normal. Heart and lungs normal. | Uninterrupted recovery. Throat clean on 17th. No albuminuria. | Throat and nose syringed with solution of citric acid. | |
11 | 178 | F | 4 | June 20 | 9 | D | Indefinite. One case in next house some months previous. | Taken ill on 18th. | Tonsils enlarged, small yellow patches on both. None. on uvula. Nasal discharge. Cervical glands enlarged. Soft apical murmur, second sound sharp. Coarse inspiratory rales at bases of lungs. Urine normal. | June 22nd, extension of membrane to soft palate. 25th, throat better; vomiting commenced. 27th & 28th, vomiting continued with diarrhoea; urine contained one-tenth albumen, and quantity was diminished; paralysis of soft palate ; reflexes absent. 29th, suppression of urine occurred, with continued vomiting and diarrhoea,lasting 36 hours prior to death. | Solution of citric acid to syringe throat and none. 22nd, solution of perchloride of iron and glycerine applied to throat. Condy's Fluid used as a mouth wash. | See B. M. Journal May 11th, 1895. |
12 | 179 | F | 21 | June 24 | 32 | R | - | Sore throat on 22nd. Vomited on 23rd. | Both tonsils enlarged and congested with small grev patch on each. Reflexes normal. No albuminuria. | No complications. Uninterrupted recovery. | Solution of citric acid applied to throat and nose. | |
13 | 186 | F | 44 | July 6 | 35 | R | Direct contagion from son. aged 6, who died on July 3rd, of diphtheria. | Sore throat on 4th. | Thick grey patches on both tonsils Pharvnx red and glazed. Reflexes present. | A trace of albumen in urine for 21 days. No complications. | Solution of citric acid to syringe throat and nose. |