[Report of the Medical Officer of Health for Croydon] page 48 49

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.
6	24	M	5	Mar. 29	2	D	-	Ill 4 days previous.	Tonsils enlarged. Considerable laryngeal obstruction. Harsh breathing over both bronchi. Throat very dirty with greyish yellow patches.	Tracheotomy performed, and membrane coughed through tube, but there was considerable extension to smaller bronchi.	Tracheotomy.
7	26	F	2½	Mar. 31	21	D	-	Sore throat on March 31st.	Tonsils enlarged and red. Small grey patch on left tonsil. Cervical glands enlarged. No nasal discharge. Colour good. Heart and lungs normal. Reflexes present. Temp. 100. Pulse 124.	April 2nd, throat clean and remained so for 5 days; child quite well. April 9th, temp. 102; throat red & congested; grey patches 011 each tonsil; no vomiting; red rash on body,w hich lasted 3 or 4 hours. 10th, temp. 104; throat covered with membranous exudation; reflexes present, 11th, temp, normal & throat clean. 12th, fresh formation of membrane on throat; nasal discharge; offensive smell; glandular enlargement increased. 16th, throat and nose better. 17th, vomiting commenced and persisted several days; quantity of urine gradually diminished, and albumen increased, and suppression of urine occurred 36 hours before death.	Solution of perch-loride of mercury to swab throat, and syringed with boracic lotion. Apl. 15th antitoxin 10 c.c. injected. 10th, antitoxin repeated. 17th,nutrient ene-mata. 19th and 20th,vapour baths.	The throat affection for which she was admitted yielded no bacilli and was of a very slight nature. The 2nd attack presented all clinical signs of diphtheria, but though repeatedly examined was never confirmed bacterio-logically.