[Report of the Medical Officer of Health for Croydon] page 42 43

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.
48	10	F	7	Feb. 4	25	R	-	Vomited on 3rd. Throat and neck swollen on 4th.	Tonsils enlarged and covered with grey easily detached membrane. Uvula cedematous. Glands enlarged.Breath offensive. Colour good. 1st cardiac sound feeble. Lungs clear. Nasal discharge. Reflexes present Temp. 102, pulse 128, resp. 24.	February 6th, at 10 a.m., no change; glands rather more swollen; temp, at 4 a m. 101, but fell to 98 after an action of the bowels; urine contained no albumen. February 7th, general condition improved; throat much cleaner; a large fleshy piece of membrane syringed away; nasal discharge less. February nth, throat quite clean; knee-jerks present; no albumen in urine; February 12th, localised erythematous rash at seat of injection, which lasted 3 days, and was accompanied by albumen in the urine, which lasted 12 days.	February 5th, at 11.20 a.m., antitoxin 20 c.c. injected.	Bacteriologically confirmed.
49	16	F	6	Feb. 18	73	R	Brother died of diphtheria on 17th. Cat killed,having offensive discharge from month and ears. Child's throat painted with some brush as her brother's.	Indefinite. Had sore throat for 3 or 4 weeks, gathering in ear at same time.	Both tonsils enlarged and covered with thick white adherent membrane. Uvula enlarged but free from membrane. Cervical glands enlarged, Laryngeal cough and stridor. Face pale. Heart unaffected. Breath sounds at bases of lungs weak. Knee-jerks absent. Trace of albumen in urine.Superficial abcess behind left ear.	February 19th, a large quantity of pultaceons membrane syringed from throat. 20th, cough still laryngeal; some impaired resonance and prolonged expiration at right pul-monary apex. 21st, colour pale; food entered larynx; a few rales at right apex; throat clearer; cough less laryngeal. On 22nd, 23rd, 24th, and 25th, troublesome urticaria was present. On March 4th, developed acute rheumatism and pericarditis. 15th, pericardial effusion cleared up. Attacks of cardiac, irregularity and intermission recurred almost every night,from March 7th to April 10th. On March 28th, relapse of rheumatism, intestinal paresis with obstinate constipation and slight vomiting,which yielded to enemata.	Antitoxin 20 c.c. injected. Throat sprayed with bora-cic lotion. February 21st, fed with nasal tube for 12 days. March 4th, salicylate of soda grs. vii, every 4 hours. Daily, simple enemata.	Bacteriologically confirmed.