[Report of the Medical Officer of Health for Croydon] page 38 39

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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38 39

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 Hospital.	Result.	Ætiology.	History.	State on Admission	Course and Complications.	Treatment.	Remarks.
42	2	^F	8	Jan. 3	66	R	-	Sore throat on Jan. 1st.	Both tonsils enlarged and red. A small white patch on left tonsil. Glands at angle of jaw enlarged. Colour good. Heart and lungs normal. No nasal discharge. Reflexes present.	Jan. 10th, throat clean. Jan. 24th, irregularity and intermission of heart sounds. Systolic-apical murmur, which continued until Feb. 27th. Feb. 5th, paralysis of accomodation. Knee-jerks present. No regurgitation of food. Trace of albumen in urine for 20 days.	Glycerine of carbolic acid to swab throat. Mixture of digitalis and iron three times a day.	Bacteriologically confirmed.
43	3	M	16	Jan. 3	25	R	-	Sore throat on Dec 31st.	Tonsils and uvula red and swollen. Large patch of membraneon left tonsil and uvula. Ceivical glands enlarged. Colour very good. No constitutional symptoms.	Jan. 7th, membrane extended to right tonsil, and soft palate. Jan. 10th, throat quite clean. No complications.	Glycerine and carbolic acid to swab throat. Nose syringed with salicylic acid lotion.	Bacteriologically confirmed.
44	6	M	44	Jan. 9	2	D	-	Said to have had bronchitis and influenza on Jan. 3rd. Sore throat on the 8th.	Throat very dirty and offensive. Uvula and tonsils œdematous and covered with easily detached tough membrane Nose completely block-ed, dirty and offensive. Glands considerably enlarged. Purulent ophthalmia in both eyes. Impaired resonance and crepitations at both pulmonary bases. Colour pale. Temp. 102. Pulse 128. Resp. 36.	Jan. 10th, Glands in neck considerably more swollen. Face pale and puffy. Large quantity of offensive membrane in throat. Profuse offensive nasal discharge. Heart sounds feeble. Vomited twice. A trace of albumen in urine. Considerable systemic infection. Death occurred from cardiac failure.	Steam tent, etc. Ice bag to neck. Solution of perch-loride of mercury 1 to 500 locally. Nose syringed with boric acid lotion. Jan. 10th, hypodermic injection of digitalin gr. one twenty-fifth.	Bacteriologically confirmed.
45	7	F	33	Jan	19	R	Mother of No. 44.	Sore throat for 2 days.	Small patch of membrane on left tonsil. Glands not enlarged No constitutional symptoms.	Jan. 15th, throat quite clean. No complications. No albuminuria.	Throat swabbed with solution of perchloride of mercury.	Bacteriologically confirmed.