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11
On the 28tli September, 1922, one of the patients who had
suffered from lead poisoning was admitted to the West Middlesex
Hospital suffering with lung trouble and delirium. He was said
to have had a few fits before admission.
The patient (aged 42) died on the 9th October, 1922.
Sir Kenneth Goadby was present at the post mortem on behalf
of the Brewery Company.
Sir Kenneth kindly supplied me with details of the findings
of the post mortem together with an histological and chemical
report. His report is as follows :—
“He was admitted into the Isleworth Infirmary (West
Middlesex Hospital) suffering from pains in the stomach and
legs, partial paralysis of the legs, incipient wrist drop; blue
line of the gums ; pain in the chest. He became violent and
unable to talk clearly.
Post mortem, at which I was present, there was no wasting
of the tissue-fat blue line on the gums, and a well pronounced
blue line at the anus. There was slight wasting of the dorsal
interosseii (both hands) and muco-purrulent bronchitis, the
lungs were glued together by exudate. The liver showed no
obvious signs of Cirrhosis, the kidneys appeared normal, but
on section the cortex was swollen. The stomach showed no
haemorrhages. The small intestine showed dark staining of
the muccous membrane and general oedema. The brain was
normal in appearance, and there were no recent haemorrhages,
but the whole of the brain was very soft.
Histological Examination was made of the Kidney, Liver,
Brain and Intestines.
The kidneys showed general fibrosis of an old standing
nature cloudy swelling, tubular and intestinal nephritis, the
picture was of a chronic fibrotic kidney, complicated with a
recent microbic affection. Numerous organisms (streptococci)
were found present. The liver showed patches of chronic
fibrosis.