[Report of the Medical Officer of Health for Croydon] page 36 37

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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36 37

Table: Table VII.—Cases of Diphtheria admitted during official year, April 1st, 1894, to March 31st, 1895.

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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 Hospitai.	Result.	Æticlogy.	History.	State on Admission.	Course and Complications.	Treatment.	Remarks.
38	275	M	8	Dec 18	36	R	Indefinite.	Sure throat on Dec. 17th.	Tonsils and uvula enlarged. No membrane visible. Nasal discharge. Glands enlarged. Systolic - apical mur.nurandcardiacim-pulse diffused. No albuminuria. Red blush on trunk. Temp. 101. Pulse 132.	Dec. 20th, throat clean. Both nostrils blocked. Double aural discharge. Icthyosis of skin of chest and legs. Dec. 21st, profuse nasal discharge. Jan. 18th, cardiac impulse diffused, and heart's action irregular. Skin rough and desquamating on back and legs. Throat con-gested with a little secretion on tonsils. Jan. 26th, heart regular.	Nose and throat syringed w i t h chlorate of potash. Jan. 18th, mixture of digitalis and iron three times a day.
39	278	M	6	Dec. 28	3	D	House said to be damp. Several cases in road recently.	Vomited on 23rd. Complained of pain in neck on 26th.	Throat congested, with grey patches on tonsils and uvula. Cervical glands enlarged. Laryngeal stridor.	Breathing got worse and patient became cyanos-ed. Tracheotomy performed. Some membrane came through tube. Jan. 1st, died suddenly of syncope.	Throat swabbed with solution of citric acid. Tracheotomy. Steam tent, etc.
40	280	F	5	Dec. 28	58	R	-	Has had a sore throat since leaving scarlet fever ward 2 months ago.	Patches of membrane on both tonsils. Cervical glands enlarged. No nasal discharge. No albumin uria.	Jan. 6th, throat clean Some membrane syringed from nose. Temp, on Dec. 29th and 30th, 104, and subsequently normal till Feb. 12th. Jan. 2nd, a little cardiac irregularity. Feb. 12th, septic sore throat. Temp. 106. On Feb. 15th, temp. 104. Subsequently normal.	Glycerine and carbolic acid to swab throat. Nose syringed with chlorate of potash. Feb. 12th, solution of mercury to swab throat.	Bacteriologically confirmed. On Feb. 12th,recrudescence occurred. Throat presented clinical appearance of diphtheria, but no constitutional symptoms and no bacilli found.
41	1	M	3	1895 Jan. 1	73	R	Indefinite.	Taken ill on Dec. 30th.	Throat very dirty. Considerable quantity of membrane on tonsils and uvula. Cervical glands enlarged Lungs clear. Heart sounds, regular but feeble. Pulse weak. Temp. 101. Pulse 120. Resp. 40. Trace of albumen in urine. Knee-jerks absent.	Jan.3rd, nasal discharge. Throat still very dirty. General condition improved Jan.6th, throat cleaner,some membrane from nose,a few rhonchi, and impaired resonance at bases of lungs. Jan. 16th,throat quite clean, lungs clear. Feb. 6th, tendency to syncopal attacks aftergetting up. Occasional intermission in heart sounds, lasting 3 days. Temp. 100 to 102 for 4 days. No paralyses.	Glycerine and carbolic acid to swab throat every 4 hours. Nose syringed with salicylic and boric acids. Steam tent, etc.	Bacteriologically confirmed. Double aural discharge for last 18 months. Superficial abscess behind right ear opened. Subsequently developed signs of mastoid abscess and was discharged at request of parents.