Annual medical and sanitary report / Nigeria.

  • Nigeria. Medical Department
Date:
[1916]
Catalogue details

Licence: Public Domain Mark

Credit: Annual medical and sanitary report / Nigeria. Source: Wellcome Collection.

    33/154 (page 31)
    Ol ol > On the 7th, he again appeared at Dispensary, when his temperature had risen to 100. The joint pains had disappeared and he stated that he felt dull and heavy. An aperient was given, also 5 grains of quinine three times daily. On the 8th, he was admitted into hospital with a temperature of 102. On the 9th, his temperature had increased to 103 in the evening. On the 10th, he felt and looked distinctly worse. Quinine was doubled in doses. Morning temperature 102*2 and evening 103*4. On the 11th, his temperature was slightly higher. He complained of tender areas over the body, some of which were slightly enlarged and very painful to touch. Skin dry. On the 12th, his condition became more grave. Temperature 104 in the morning and 104T) in the evening, and later running up to 103*2 during a rigor, and the sore areas had greatly increased in size and were localised. On the 13th, he looked very ill.' One rigor followed another and temperature reached 105*5. There were large swellings in each gluteal region, two on the back and one on each thigh. He was anaesthetised and the six of the larger tumours incised, evacuated and drained. The right gluteal swelling yielded 10 ounces of a non-fetid creamy pus, the others varied from 6 to 4 ounces. After the removal of pus, his condition considerably improved. Sweating was profuse and temperature in the evening fell to 102*6. On the 14th, temperature was 101 and evening 102*1. He looked better and felt fairly comfortable. On the 15th his temperature was 99*4 and 100*3. All the abscesses wTere progressing satisfactorily. After this date lie slowly improved and had an uninterrupted recovery, except for the opening of tv7o abscesses, on the 20th of November and 1st of December. An examination of the blood was made on three occasions during the high fever, but no parasites observed. The pus showed staphlococceaL infection, which was verified by report from Yaba. i I have seen several cases of cellulitis, especially among prisoners, where it was impossible to trace the cause of infection. In this case the prisoner was a young man in the prime of life, physically very robust, and up to his appearance at the dispensary was a very healthy subject. / He stated that he had always been robust. There were no wounds, or abrasions on the body. tj By Dr. G. Hungerford, Senior Medical Officer at Onitsha—Two cases of interest. Haemorrhage in the bladder of obscure origin. Diagnosis of primary cause uncertain and difficult.