London's Pulse: Medical Officer of Health reports 1848-1972

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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.
14187F6July 653R-Illness commenced on 3rd.Tonsils enlarged. Small grey patch on right tonsil and on back of pharynx. Heart and lungs unaffected. Reflexes present.Regurgitation of food on July 12th. Albumen in urine till July 31st.Solution of citric acid to syringe throat and nose.
15198F26July 931R-Sore throat on July 19th.Small creamy white patch on right tonsil, and another similar patch on posterior wall of pharynx. Temp. 101.Faint trace of albumen in urine for 2 days. No complications.Throat sprayed with carbolicacid. Quinine and iron mixture.
16199F11July 2141RSix children in family attacked. The first 2 on July 12th, supposed indirectly from W00d side Board School.Sore throat on July 20th.Oval white patch on right tonsil & pharynx. Temp 102. Heart and lungs unaffected. Reflexes present.July 22nd, membrane extended to soft palate. Considerable swelling of right side of neck. Temp. between 98.4 and 100 F. till 31st. Regurgitation of food on 31st. Trace of albumen in urine till Aug. 22 nd.Throat sprayed with carbolic acid, 1 in 20. Quinine and iron mixture.House epidemic due originally to school attendance, and subsequently to direct contagion.
17200F10July 2141RThe 3rd directly from first 2. The last 3 attacked on July 21st, and removed to Hospital.Sore throat On July 21st.Right tonsil covered with thin grey membrane. Small patch on left tonsil.Patch on tonsil detached on 22nd. Albuminuria for 2 days. No complications.Throat sprayed with carbolicacid, 1 in 20, every 2 hours. Quinine and iron mixture.2nd attack of diphtheria.
18202M9July 2232RTwo children attended Woodside, the others Oval Road Schools.-Small creamy patch on left tonsil. No constitutional symptoms.Epistaxison 25th. Albuminuna for 2 days. No complications.Throat sprayed with carbolic acid every 2 hours. Quinine and iron mixture.
1921CF13July 2886R-Sore throat and head ache on July 25th.Both tonsils much swollen, with thick white patches. Soft palate swollen. Some raits at bases of lungs. Acrid discharge from nose. Breath foul. Reflexes normal. Temp. 102. Pulse 150.Eqistaxis on July 29th and Aug. 1st. Vomiting between Aug. 7th and 9th. Knee jerks absent on Aug. 10th. Temp, normal for first time, previous range being 99 to 101. Vomiting occurred again between 13th and 18th. Urine averaged 30-oz., and contained albumen from one-fifth to one-twelfth till Aug. 29th.Throat sprayed with carbolic acid and nose syringed with boracic acid. Slinger'ssupposi-tories given on Aug. 7th and 8Lh, and again between 13th and 18th.When discharged gait was clumsy, but improving. Knee jerks were sluggish. No paralysis of palate.