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.
77/92 (page 65)
![Blackwater Fever, l l | Previous | ini i : i Previous attacks of Picongiees tel irae Duration| Blood pS ee ons. eis oe area Onset of General Symptoms. ert NS ‘Ayou~ | pre i | Fever. | before attack. | Jaundice. nuria, |™minuria,) MANOD | eeult, Typhoidand| None ... |5 grains 8am. ... | Patient just recovering from a severe attack |36 hours/60hours| Nega-:| Re- dysentery daily. of dysentery. Severe rigor at 8 a.m. on tive. | covery. in South 5 grains ...| Just after November 22nd, temperature 106° F., vomit- Re- Africa; the initial | ing, hemoglobinuria at 1la.m. Tempera- turned several rigor. | ture remained high until 23rd, when it fell, to mild at- | and was accompanied by a clearing of the Hurope. tacks of urine, malaria and one attack of dysentery in West Africa. | Many minor | None ... | Irregular... | 4 p.m. For the last three months has not enjoyed ,88hours} 4 days |Parasites 4 days; attacks of |5 grains ... good health. Took 5 grains quinine on the found re- malarial Second day | morning of November 24th, at 4 p.m. on the | covery ; fever. of illness, passed 20 ozs. dark-coloured urine, but second |_ in- nevertheless went out and played golf. On day of | valided. his return he passed 8 ozs. of urine the the colour of stout. Complained only of a disease. heavy feeling in the pit of the stomach. Marked | November 25th—Restlessness, vomiting, and anzmia,| hemoglobinuria, but no reduction of the amount of urine passed. November 26th—Urine began to clear. Many at-| None ...|5 grains 2.30 p.m. ... | November 29th—Fever, vomiting and diar- |2fhours |26hours| -—- 7 days; tacks of daily. rhoea. recovery malaria in 15 grains in | Second day | November 30th—Seemed better, but at 2.30 | the West 2doses,and/| of illness, | p.m. black water was passed. Indies; 30 grains November 3lst—The urine began to clear at : some slight the day 10 a.m., and was passed freely. | fever for before. threeweeks before this attack, Several/| None ...| A fairly re- — Unwell for three months. On December 4th| 5 days | 5 days No | 20 days; slight at- gular qui- had a rigor, with vomiting and hemoglobi- malarial} re- tacks of | nine taker. nuria. On December 9th removed from his parasites| covery ; “fever” ; ship, R.M.S. “ Mendi,” to Calabar hospital. found ; |returned had been Recovery uninterrupted. pig- | to Eng- feeling un- mented} land. well for 3 leuco- months cytes before at- present. tack. | Suffersfrom | None ...| Only takes | Earlymorn-| Vomiting and diarrhcea during the night,| 3 days | 5 days | Nega- | 24 days ; chronic quinine] ing. noticed the blackwater in the morning. tive. |recovery colitis; when he| Second day]! diarrhea troublesome, due to an old-stand- several at- has fever.| of illness. ing colitis. | tacks of 10 grains. eats fever dur- ing the last month. Seven short | None ...|5 grains 6am. ...|No initial rigor, but sleepless and restless.} 4 days | 5 days No 5 days ; atcacks of everyother| Coincident | Vomiting never severe. Abundant urine malarial re- fever. day. with the! passed throughout. Urine began to clear para- | covery ; 5 grains. onset of] at once after the first passage of blackwater, sites. in- hemoglo-| but became worse again the next day before Leuco- | valided. binuria. finally clearing. cytosis at first. Hemo- globin 80%. Several|None ...| Refused to; 6p.m. ...| Severe rigor just after playing golf, with| 5 days | 5 days No_ | 5 days. severe at- believe in Deeplyjaun-| vomiting and black urine. Fever did not malarial! Death. tacks of quinineas| diced on| fall until just before death. Urine abundant para- malarial a prophy-| admission,} until the early morning of January Ist, sites. fever. lactic. andsaidto| 1913, when suppression set in. Collapse Some have been| and death at 11.15 a.m, leuco- jaun diced cytosis, the day’ Hemo- before he globin fell ill, 60%. LS 31857](https://iiif.wellcomecollection.org/image/b32182995_0077.jp2/full/800%2C/0/default.jpg)