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.

    75/92 (page 63)
    sonal History. 63 Blackwater Fever. 2 days 3 days A few hours on Aug, 11 and againon Aug. 16. 3 days 24 hours 12hours 5 days A few hours only (four) Previo ini Previous Gihacks of Pee Hour of Illnesses, Black- | and dose Onset and General Symptoms. | Malaria, &e. water taken just Onset of Fever. | beforeattack,| Jaundice. Severe at-| None ...|10 grains | 10 p.m. Fever and vomiting on July 28th; later took tack of just before 10 grains quinine, which he vomited. At malaria at attack, Second day| 10 p.m.a rigor, and some black urine said Sierra of illness. | to have been passed. Next morning urine Leone in was normal, At 6 p.m. 10 grains euquinine 1908. taken and retained; at 10 p.m, another rigor and hemoglobinuria ; headache, severe vomiting, pains in the stomach, but no | diminution of urine. — None ... | Doubtful if|3 p.m. ..!|On August 2nd, when on board ship, an any qui- ‘| attack of “ague.” Much better next day. ninetaken | Immediate. | Return of fever on August 4th with vomit- as a pro- ing, and at 3 p.m. passed a large quantity of phylactic. black urine. Admitted to Onitsha hospital 10 grains. on August 5th. Severe pains in loins, fever, hemoglobinuria and marked suppression of urine, Several at-| None ... | Irregular...|4 pm. ... | No severe symptoms. Hamoglobinuria on tacks of Firstattack | Slightjaun-| August 11th, but urine cleared on the same malarial 6 grains;| dice after| day and remained clear until August 16th, fever. second at-| thesecond.|| when, after a dose of 10 grains quinine, tack 10] attack. the hemoglobinuria returned, but only for grains. a few hours. | Slight at-| None .../10 grains/3 a.m. Admitted on August 20th, complaining of tacks of weekly. fever and diarrhoea. Hemoglobinuria fever dur- 15 grains a| About 15] began at 3 am. on August 21st, and was ing last dayforthe| hoursafter| accompanied by vomiting, rapid pulse, and two weeks, last few! the onset| laboured respirations. Suppression began and diar- days. of hemo-| at once and finally beeame complete. The rhea. globinuria,| last specimen of urine passed (on August 23rd) wasclear. Profuse diarrhoea through- out, dark fou] stools containing, latterly, | blood and mucous shreds. Many at-| One pre- | Unable to/ 11 p.m. Onset of feverat7p.m. Temperature 103°F., tacks of | viousat-| take qui- shivering and vomiting. Hzmoglobinuria malarial tack 12 nine regu- atll p.m. All symptoms disappeared within fever. yearsago.| larly ow- 24 hours. The ing to its hemoglo-} toxic ef- binuria | fects. lasted | None, onlyafew hours. A good deal| None ...|5 grains 12 p.m. Under treatment for fever with gastric of “fever” daily. symptoms from August 21st to 24th. On during the 5 grains ... — August 25th felt a little “chilly,” and at last three midnight passed 10 ozs. of dark brown months. urine. Nausea, but no vomiting. Urine clear by noon on August 26th, and albumen | free on August 27th. No tendency to sup- | pression of urine. A slight at- | None ...|; Quinine/4 p.m. Fever lasted 7 days, never above 101°5° F, tack of taken only Bowels rather free. “fever” when un- aboutonce well. every four 10 grains... | Second day months. of illness. Slight at-| None ... | Irregular... | Earlymorn-| Fell ill on November 13th, temperature | tacks of ing. 104° F., took 20 grains quinine, but vomited | “fever,” | 20 grains... _ during the night. lasting a November 14th—Again took 20 grains quinine day or two, and later vomited. Rigors all night. for the November 15th—In the morning urine ob- last few served to be black. The hemoglobinuria months. cleared up in about four hours, Duration eet Tiineds ! Albu- mere ia! | minuria,| D#tion. | asi | 6 days | Nega- | 7 days tive. Re- covery. 3 days | A few | 5 days. | young | Death. parasites | in the |bloodon Aug, 5. 13 days | Nega- | 14 days. tive. Re- covery. 4 days | A few | 5 days. small | Death. ring-like sub- tertian parasites in a blood film taken justafter the onset of the black- water. — Nega- /48hours; tive. re- ' | covery; returned to Europe. 24hours} Nega- |24 hours; tive. re- covery ; in- valided, 8 days | Nega- | 9 days ; tive. [recovery —_— -— 14 days ; re- covery ; in- valided.