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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    III. PersQiud History. (a) Not a regular quinine taker. Has had several attacks of malaria previously. Patient v^^as admitted to hospital at 2 p.m. on the 15th October, 1913, and stated that he was passing urine of a port wine colour. On admis- sion his temperature was 98-8° and bowels were constipated, very anaemic. The next day his temperature rose to 1015° and the urine was of a port wine colour. On the third day the temperature again came down and the urine became lighter in colour. The patient was discharged as cured on the 29th October, 1913. J. PUGH, Medical Officer. Case 9. Female, aged 30 years. Residence.—Railway brick quarters. Station.—Kilindini. Previous History.—She was suffering from malaria since a fortnight; she was not taking quinine regularly. Present History.—On 21st March, 1913. at 10 a.m., suddenly she passed black urine, of which she was frightened, and informed me at 11 a.m., when her husband came from duty. Temperature.—It rose to 102° in an hour's time and came down to 101° next morning; it gradually dropped down, and on the morning of the fourth day it was quite normal and never rose again. Urine.—It was dark red on first visit, and after twenty-four hours time it turned into red colour, and gradually turuof] into high colour and yellow in next twenty-four hours' time. Jaundice.—There was slight jaundice. Vomiting.—Remained only for twelve hours and stopped itself. Liver and Sijleen.—These were slightl}^ tender and enlarged. Kidneys.—Were painful and tender on both sides. Treatment.—Medicinal.—Soda bicarb : and liq : hydrarg : perchlor. mixture was given thrice daily. Dietetic.—Milk and soda-water and barley-water were given in frequent and big quantities. External.—Liniment : terebinth : was rubbed over the kidneys and tr : iodine was painted over the liver and spleen. Harkishan Das, Sub-Assistant Surgeon. Case 10. Female, aged 27. Residence.—Railway quarters. Station.—Kilindini. Previous History.—She was suffering from chronic malaria since two months and having attacks now and then during the period. She was not taking quinine except a few times when she was suffering with severe attacks. Present History.—On 27th September, 1913, at 8 a.m., when going round to see the cases in quarters, she reported me that she had passed black urine. On examination I came to know that it was a typical urine of blackwater fever. She took 10 grains of quinine beforehand. Temperature.—For first forty-eight hours it was between 102° and 103°, for next twenty-four hours it was between 100° and 102°, for. next twenty-four hours it was between 99° and 101°, for next twenty-four hours it was between