Africa : blackwater fever in the tropical African dependencies : reports for 1912.

Date:
1914
Catalogue details

Licence: Public Domain Mark

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

    6/92 (page 4)
    GAMBIA. BATHURST. CASE 1. A Syrian trader, aged about 60. | Previous history —This was unobtainable. April ‘ Vals oe Tepes ee pe Seon ove | ore eee Hola ie fiol2 le jiol2ielioj 2jetiotate hoje te jiol2 |e |rala te fiol2 fs fiol2 |e frol2 Te Fig} eo ma Ge Ss OO a De we Pe ens ai > > y x eer3y om we Mies aS r4 | 5] ab | o aa Viz | [>| z]= Ss oO) ° Re | 3 3 [ Mot a : eo Cw ° SiGmsccsssesssscsessssessescsescassss seer eeeressaeerervseretesraaes Sar esreevarsaeeeseretceeres o Ns rs 7 emperatare (Fahrenheit) — ome: a Sc Sn er el ra Q SESE REESE WEEE NE ae nee i if = sed a BP i fl rH if th yet NE te \ FH NEE RHEE E : it it i Hi History of present iliness——On April 9th he was admitted to hospital, his friends saying that he had been suffering from blackwater fever. On admission, the temperature was 98'4° and the pulse rate 123. The urine was clear and did not contain albumen. He was given calomel gers. 5, and magnesium sulphate 3 1 was ordered for the following morning. He had a good night. On April 10th the morning temperature was 100°6°. At 10 p.m., as the bowels had not been moved, he was given Olewm Ricini 3 i; two motions resulted. On April 11th, at 6.30 a.m., the temperature was 98°4°. Quinine grs. 5 was given. At 9.45 a.m. he had a rigor, for which he was treated in the usual way. He now became very restless and complained of great pain over his kidneys. He vomited some greenish fluid. At 10.50 am. he passed six ounces of urine quite black in colour. The temperature rose to 104°8°. He was given large quantities of barley water—50 ounces in twelve hours—which he retained. There was no more vomiting during the day.. The pulse rate was 136. On April 12th there were symptoms of suppression. Only one ounce of urine had been passed between 2 p.m. on the previous day and 7.30 a.m. The morning temperature was 101°, the pulse rate 120. Barley water, hot milk, and small quan- tities of brandy were given by the mouth. The total quantity of fluids retained between 7 a.m. and 6 p.m. was 63 ounces. At 3 p.m. the colour of the urine began to improve. The evening temperature was 99°4°, the pulse rate 120. On April 13th the morning temperature was 98°. The yellow colour of skin and conjunctive, which had been slight, was now fading. At 9.30 a.m. he passed