Blackwater fever in the tropical African dependencies : reports for 1912.

  • Great Britain. Parliament. House of Commons.
Date:
1914
Catalogue details

Licence: In copyright

Credit: Blackwater fever in the tropical African dependencies : reports for 1912. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    I lay all work or exercise aside, take 10 grains of boric acid, and usually am fit in a short time, perhaps next day. This occurred about the middle of June. Ist day. 2nd day. 8rd day. 4th day. Fever 104 100 99 98. Headache Not severe ... None... None... None. Pulse Increased ? ... Normal Normal Very slow. Sweating and chills Excessive ... Slight chills Cold feet ... Entire body cold. Urine Like weak tea Like strong tea Like tea Begins to clear at noon. Sleep Fairly good... Good... Good... Good. Urine quantity ... About 8 ozs. e very 6 hours. Kidneys ... Dull ache ... Dull ache Dull ache ... Dull ache. Vomiting ... None... None... None... None. Hiccup ... None... . . Slight None... None. Appetite ... None... Slight Slight Slight. Weakness None... Alter urinat- Increased Extreme. ing, slight. Remedies—Quinine 10 crains i) 5. Boric Acid 10 grains ever y t) hours. Oil of Turpentine Half teaspoonf ul morning and evening. Diet—Soft boiled egg 2nd and '.]rd day All the milk, e ggs (raw) and h oney 1 could ta ke. Bowels ... Normal . . Normal Normal Normal. Pain Bodily ache... None... None... None. CASE 3. BONTHE, ShERBRO DISTRICT. The blackwater first manifested itself on the 17th October in the afternoon. The urine was the colour of stout, and had a copious deposit and two-thirds solid albumen on boiling. On the 18th the urine was clear sherry coloured, and showed slight albumen and debris. In a few days' time it was normal. On the 24th the ])^itient got out of bed. On the 13th of November the patient had a variable tem- ]^erature, and from the 6th November he had been taking 1 grain of euquinine three times a day. A recurrence of the blackwater took place on the 13th of November, and continued very severe till the 16th, when the urine became clear and albumen slight. The ])atient was very weak and I feared a fatal issue on the 15th and 16th; however, rectal saline injections were given along with hypodermic injections of strychine and digitalin, after which the condition of the urine steadily improved and the patient regained strength. Jaundice and ansemia were very marked during this second attack. On the 21st a slight recurrence again took place, but the patient gradually improved, though some days later the urine was again, for a few hours, loaded with albumen.. Having come to the conclusion that the patient's present condition—intense anaemia, haemic bruit,and slight jaundice, with slight trace of albumen in the urine— requires special nursing, I have advised that he be taken to the Nursing Home, Freetown. Alex. Bremner, Medical Officer. CASE 4. De.4h, Northern Sherbro. Locality.—(a) The house is low\ mud-walled, tin-roofed, and very hot in the daytime. At one side, about two hundred yards away, the River Wanjai flows. There are several native houses close up on this side. At the back and on the other side the bush has been allowed to grow right u]> to the verandah. The bush at the back slopes down to a swamp, two hundred yards away. In front there is a, com- pound containing the stores and shop. This is about fifty yards square, and is kept clear of grass, &c. K 2