[Report of the Medical Officer of Health for Croydon] page 44 45

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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44 45

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.	Ætilogy.	History.	Stale on Admission.	Course and Complications.	Treatment.	Remarks.
50	19	F	3	Mar. 9	33	R	-	Croup on March 6th.	Tonsils enlarged and covered with thick adherent membrane,which extended on to uvula and soft palate. Considerable laryngeal obstruction Heart unaffected. One-third of albumenin urine. Knee-jerks absent.	11th, throat about the same, some membrane came through tube. 13th, throat much cleaner. March 20th, food entered larynx. No further complications except some transient urticaria.	Antitoxin 20 c.c. Tracheotomy. March 10th, antitoxin 10 c. c. March 13th, injection repeated. 20th, nasal feeding for 10 days.	Bacteriologically confirmed.
51	23	M	6	Mar. 24	2	D	-	Bronchitis on 21st,	No membrane visible. Throat red and congested. Considerable laryngeal obstruction. Heart unaffected-Trace of albumen in urine.	Tracheotomy performed and patient was comfortable for 12 hours after, when vomiting and syncopal attacks occurred, and he died 36 hours after admission.	Antitoxin 20 c.c. injected.	Bacteriologically confirmed.
52	25	F	3	Mar. 31	25	R	-	Face and neck swollen on March 30th.	Tonsils enlarged and red, yellowish grey patches on both. Cervical glands enlarged. Colour good. Heart and lungs unaffected. No albumen in urine. Temp. 103, pulse 144, resp. 36.	On April 2nd, throat was quite clean, and child appeared well. On April 3rd, temp, rose to 103, accompanied with a fresh exudation on both tonsils of thick easily detached yellow membrane. On April 5th, several large tough pieces of membrane were syringed from throat, but it quickly re-formed; glands much enlarged; face pale; heart irregular; breath foul and general systemic infection. On 7th, throat much cleaner and less offensive and membrane pultaceous. On 9 th, throat clean, general condition good. 14th, 2 slight attacks of syncope; trace of albumen in urine for 5 days.	Throat swabbed with solution of perchloride of mercury twice a day and syringed with boracic lotion. April 3rd, throat sprayed with iodine and carbolic acid. April 6th, antitoxin 20 c.c.injected. April 8th, antitoxin 10 c.c. injected.	Bacteriologically confirmed.