[Report of the Medical Officer of Health for Croydon] page 46 47

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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Table: Table VIII. —Cases admitted as Diphtheria but not subsequently confirmed.

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Table VIII. —Cases admitted as Diphtheria but not subsequently confirmed.

No.	Register No.	Sex.	Age.	Date of Admission.	Days in Hospital.	Result.	Ætiology.	History.	State on Admission.	Course and Complications.	Treatment.	Remarks.
1	279	F	31	1894. Dec. 28	15	R	Subject to sure throat. Daughter admitted at same time with diphtheria.	Sore throat on Dec. 26th.	Throat red. Tonsils enlarged. 2 small white patches on right side. No albuminuria.	No complications.	Throat swabbed with glycerine of carbolic acid $ per cent.
2	13	F	3	1895. Feb. 14	28	R	-	Had a fit on Feb. 13th. Throat bad on 14th.	Tonsils red and congested. A patch of grey adherent membrane on each. Cervical glands enlarged. Colour good. Heart unaffected. A little bronchitis. No albuminuria. Knee-jerks present.	No complications.	Steam tent, &c. Throat swabbed with solution of perchloride of mercury 1 in 500, and syringed with boracic lotion.
3	17	F	9	Feb. 20	19	R	Considerable amount of throat illness in the vicinity. Child attended St.Saviour's school, being in same class with a girl now in hospital with confirmed diphtheria.	Headache on Feb. 16th. Sore throat on 17th.	Tonsils enlarged and covered with thick yellow loosely-attached exudation. Cervical glands enlarged. No. albuminuria. Reflexes well marked.	No complications.	Throat swabbed with solution of perchloride of mercury, and syringed with boracic lotion.
4	18	F	10	Mar. 7	26	R	School attendance.	Headache on March 6th. Sore throat on 7th.	Both tonsils covered with white adherent membrane. Glands slightly enlarged. Colour good. Reflexes absent	March 9th a large piece of membrane syringed away from throat leaving a raw bleeding surface, over which fresh exudation occurred next day. 15th, throat clean, a good deal syringed away.	Throat swabbed with solution of perchloride of mercury 1 in 500, and syringed with boracic lotion.	Though bacterio-logocally unconfirmed, there was no clinical distinction from diphtheria.
5	20	F	8	Mar. 18	65	R	-	-	A few small yellow patches on tonsils. A good deal of laryngeal stridor and obstruction Temp. 103 Knee-jerks absent	Tracheotomy performed, several large pieces of membrane coughed up, through tube. March 22nd, liquids entered larynx. 25th,wound unhealthy and sloughy, offensive smell, septic temperature, lasted 3 days. April 10th, developed endocarditis, which subsided, and eventually she made a good recovery.	Antitoxin 20 c.c. injected. Tracheotomy. 25th,nasal feeding.	Developed scarlet fever rash 36 hours after admission. Temp, high for several days. Though cultivations taken from throat yielded no typical bacilli there was no clinical distinction from diphtheria co-existent with scarlet fever.