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

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Willesden 1898

[Report of the Medical Officer of Health for Willesden, UDC]

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(11)
is very desirable to use it even in mild cases before
any membrane becomes visible, if there is a history of
a previous case to confirm the diagnosis, without
Bacteriological examination. I have had reason to
regret not having used it at once, in cases that have
been of a very mild character the progress towards
recovery being much slower. In post-nasal cases
where the throat at first may show very little
affection, I consider the Serum should be used
as soon as possible as it is extremely likely there
may be membrane at the back of the Nose which is
not visible. Cases which have appeared on first examination
to be absolutely hopeless, the throat and
palate being covered with membrane and the nose
blocked, have recovered with the use of Serum.
Life undoubtedly was prolonged in some, and consequently
there are a large number of cases, 44, of
Paralysis; the patients may get over the primary
attack, the throat and nose having recovered quite the
normal healthy appearance, but succumb to paralysis
and heart failure. Paralysis may supervene on mild
cases, and may affect the sight, the power of swallowing,
the voice, the heart, the limbs; the muscles
of the body may be so weakened as to be quite unable
to support the head; the disease need not be confined
to one of the above only, but three or four may
gradually follow in succession. The length of time
that may elapse before the paralysis shows itself is
uncertain, and the duration, before recovery is
complete, may be months.