London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1937

[Report of the Medical Officer of Health for Croydon]

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Name.Age on Admission.Condition on Admission.Subsequent Progress.Time of Death after admission.
V.M. (F)11Membrane over both tonsils, also in nostrils, profuse rhinorrhœa, bull-neck.Had attacks of persistent epistaxis for several days after admission, started shewing signs of heart failure 12 days later with vomiting, and this caused death on 16th day.16 days.
W.A. (M)8Extensive membrane over whole pharynx, glands of neck † †, marked cyanosis.Shewed signs of laryngeal obstruction on following day with marked recession. Tracheotomy performed with relief, but pulse rate persisted very rapid and weak. Collapsed suddenly on 9th day (heart failure).9 days.
C.A. (F)68Semi-conscious on admission, marked emphysema with very weak heart sounds. Deposit on both ton sils. Double incontinence.Condition grew steadily worse and patient died next day.2 days.
C.I. (M)4Sloughing membrane over both tonsils, bull-neck, rhinorrhœa.Developed palatal paresis 23 days after admission, which was severe, and this was followed by increasing heart failure, the child collapsing on the 45th day.45 days.

None of these cases had had serum administered before
admission.