[Report of the Medical Officer of Health for Croydon] page 40 41

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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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.
46	8	F	5	Jan.13	69	R	-	Taken ill on January 12th.	Tonsils red and swollen. Large patch of membrane on left tonsil and a smaller patch on right. None on uvula. Cervical glands enlarged. Heart and lungs unaffected Temp. 100.4. Colour good. Albumen in urine varied from one-fourth to one-twelfth for 7 days, and then gradually disappeared.	16th, vomiting set in; face pale; membrane still on throat. 18th, signs of cardiac dilatation; face pale and puffy; glands more enlarged; throat oedem-atous, very dirty and covered with a white sloughy looking material; vomiting continued and prostration was extreme. This condition lasted with very little change till Jan. 27th, voice was then nasal and knee-jerks absent; throat was beginning to improve and vomiting was less persistent. Improvement continued, and on February 1st she took solid food. Prostration was extreme with considerable emaciation, and convalescence very slow.	Glycerine of carbolic acid, 5 per cent., to swab throat. January 17th, nutrient enemata every 4 hours, steam tent, &c., solution of perchloride of mercury 1 in 500 locally, mixture of iron and digitalis. January 21st, antitoxin 10 c.c. injected, and repeated at intervals of 12 and 24 hours. February 2nd. nutrient enemata discontinued.	The noticeable features about this case were: (1) Persistent vomiting. (2) sloughy condition of throat, which shewed 110 improvement for 14 days. (3) Prolonged and extreme prostration. Bacteriologically confirmed.
47	9	F	8	Jan. 13	75	R	Sister of No. 46.	Taken ill on January 5th.	Tonsils red and enlarged. A small piece of membrane behind right anterior pillar of fauces. Cardiac impulse diffused. 1st sound weak. Temp. 100, pulse 100, resp. 16. Urine contained albumen for 25 days.	17th, throat quite clean, vomited once. 18th, complained of earache; heart's apex outside nipple line; systolic apical murrner. 19th, face pale; pulse feeble; vomiting set in and continued more or less till 28th. On 21st, voice was nasal, knee-jerks absent. On 28th, vomiting ceased and convalescence commenced. Heart still very weak. No further complications.	Glycerine of carbolic acid, 5 per cent. to paint throat. Mixture of iron and digitalis. January 19th, nutrient enemata every 4 hours. January 28th, enemata discontinued.	Presented same symptoms as her sister, though throat affection was very slight. Bacteriologically confirmed.