Africa : blackwater fever in the tropical African dependencies : reports for 1912.
- Date:
- 1914
Licence: Public Domain Mark
Credit: Africa : blackwater fever in the tropical African dependencies : reports for 1912. Source: Wellcome Collection.
73/92 (page 61)
![sonal History. Blackwater Fever. | uria. Previous ini i . i Previous | attacks of Praphenai Bh hid i“ aie Duration! Blood Or wh Bt ce rl Flack and dase, rani ae General Symptoms. Hismp- Albu- | Exami- | Illness ‘ Fever. before attack. Jaundice. nuria, minuria, | MANOR. enti. _— None ...|5 grains 6p.m. ...| Onset with severe headache, hot dry skin, | 5 days | 5 days — 7 days ; daily. pulse 90, temperature 101°F, urine scanty. recovery 5 grains ...| Second day| Next day only 3 ozs. of urine passed, of illnéss. hemoglobinuria, slight icterus, no vomiting. | Three or| None ... | Irregularor | 11 a.m. . | On January 19th there was a simple attack of |12 hours| 4 days | Nega- | 15 days ; | four short not at all ; fever. No fever on January 20th. Return tive at re- attacks of 10 grains | Second day | of fever on January 21st at 11 a.m. with | _ the [covery ; malarial and 30] of illness. hemoglobinuria. The urine cleared during height | in- fever each grains on the next 24 hours. and the temperature fell | of the | valided. tour. each of the rapidly. Spleen slightly enlarged on January | attack. two pre- 22nd, and cardiac asthenia noted on the ceding following day and until January 29th. No days. vomiting. 1Several| None ...| Regular ...| 7 p.m. Fever, vomiting, “porter-like ” urine, rapid| Three | 21days| Nega- 21 days ; slight at- feeble pulse. Complicated by myocardiac |Separate tive. | re- tacks of Second day} debility. attacks covery ; malarial of illness, covering in- fever, 16 days, valided, namely, on the 1st, 2nd, 7th, 8th, | 9th and 16th day of the illness. Suffered None ...|; Quinine|1llam. Onset at 5 a.m. on March 14th, feverish,| 4 days | 5 days | Nega- | 5 days. much from taken only | vomiting. Took 5 grains of quinine. At tive on | Death, fever. when 11 a.m. passed dark-coloured urine. There- second feverish ; upon took 20 grains more quinine. Admitted day. 5 grains. to hospital next day. Temperature 99°6°F. ; pulse 68, strong, regular. Spleen not palpable. No improvement on 16th. On 17th urine clear, but very scanty. Died from heart failure on 18th. Several|Uncer-| None. Also | 11.30a.m.... | Initial fever on March 30th, 103'8° F., with | First First | Nega- | 12-days. short at-|tain;pos-| the use of copious dark-coloured urine. Later on same | attack, | attack, | tive on | Death. tacks of |siblytwo| amosquito| Never jaun-| day clear urine passed, and temperature | 4hours;|18hours;) first day. malarial previous| curtain} diced, but fell rapidly to below normal. Return of | second | second fever. attacks. | neglected. | the pa-|! fever on the afternoon of March 31st, rose | attack, | attack, Probably | tient’sskin| to 103° F., but fell rapidly to nearly normal. | 33 days.| 9 days. 20 grains. | acquireda| No hemoglobinuria. Return of fever with ‘ peculiar rigor and blackwater on April 2nd. From lemon this date partial suppression of urine. On tinge. April 8th tracheitis developed and the patient’s condition became worse. Died | | April 10th. Three at-; None ... | 9grainsjust | Probably | Pains in the head and back, constipation, —_ 8 days | Nega- | 10 days. tacks of before at-| about 12] urine dark but passed in fair quantities. tive. Re- malarial tack. p.m. Fever fell rapidly and was nearly normal on covery. fever. Present on} the third day of illness. second day of illness, Slight at-| None ... | Euquinine| 10 p.m. Slight malaise previous to the onset. Onset | 3 days | 3 days Films | 3 days ; tack of taken re- very sudden. At 7 p.m. seemed well, but ) taken re- | remittent gularly. Immediate. | feeling feverish took 15 grains euquinine. | soon | covery ; | fever in 15 grains At 10 p.m. delirious, vomiting incessantly, afterthe) in- February. euquinine ; intense thirst, agonising pains in loins, onset | valided. 10 grains epigastrium, and legs. Temperature 104° F,, showed of same pulse 100. At midnight passed dark urine. sub- drug had The fever fell rapidly and reached 99° F. tertian _ been taken next day; urine passed freely, but dark rings. earlier in coloured until the fourth day, when, but lng same for his weakness, the patient seemed well. ay. Fourattacks,| None ... | Irregular...|5 p.m. ... | Admitted on 21st June with malarial fever.| A few |18 hours} Both 18 hours; | malarial 5 grains ... | No jaundice} headache, T. 103°2° F., urine clear and free | hours crescents) re- | fever dur- from albumen, crescents and ring parasites | only, and | covery ; ing present in blood. Temperature fell rapidly and | young | in- tour ofser- | next morning was 99°6°, but at 5 p.m. the rings in} valided. | vice. ) fever returned, the patient vomited once, _blood and a few minutes later passed 10 ozs. just be- hemoglobinuric urine. fore the No tendency to suppression and urine quite onset of clear, and with only a trace of albumin hemo- by 4.15 a.m., June 23rd. globin-](https://iiif.wellcomecollection.org/image/b32182995_0073.jp2/full/800%2C/0/default.jpg)
