Diphtheria of the conjunctiva / by Sydney Stephenson.
- Stephenson, Sydney.
- Date:
- [1902]
Licence: In copyright
Credit: Diphtheria of the conjunctiva / by Sydney Stephenson. Source: Wellcome Collection.
Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)
14/34 page 14
![March 23rd.—Left eye free from redness or discbarge. Kuee- jerks ijreseut. Urine acid, no albumen. Moderate. 8. Mary E—, set. 10 months. First seen on February 25tli, 1898. Evelina Hospital. (Published in British Medical Jour- • nal, June 18th, 1898.) IfisiiorT/.—Eight eye red and swollen five days. No recent measles, whooping-cough, or scarlet fever. A brother, ajt, 6 years, developed a diphtheritic throat in September, 1897, and was sent to an isolation hospital. He returned at Christmas, 1897, and had lived in the same house as the patient since. Present condition.—R. : lids swollen and half-closed, with dried secretion about them. Threads of glutinous discharge stretched from one lid to the other. The palpebral conjunctiva was red and thick, and on everting the somewhat indurated upper lid, whicb could be done with more or less difficulty, a thin greyish pellicle could be seen to cover the upper cul-de-sac. The membrane could be easily wiped away, but was speedily reproduced. No chemosis; cornea clear. Eight angular glands enlarged. No membrance on tonsils or uvula; colourless dis- charge from nostrils and ears. The child was fretful and looked ill. Temp. 98-6° F.; pulse 116 ; resp. 44. Urme acid, no albu- men. Knee-jerks well-marked. , , n i BacierioioOT.—Cover-glasses smeared with detached membrane showed cocci and bacilli, but none of the last named were beaded. After twenty hours in the incubator, two serum tubes showed a few colonies, and later these were found to be (1) Klebs-Loflaei bacilli, short form, and (2) S. pyogenes citreus. Treatment and progress.—V-^iieni placed ^ ^'''.^ ^ nothing beyond distilled water used to the eye and 4,000 units of antitoxin were injected. February 27th.-Membrane has dis- appeared from the conjunctiva. March 2nd.-No discharge f^om eye Conjunctiva practically well. ^}^^^^-^'^'y'm^X Knee-jerks present. Child allowed to leave hospital. Maich llth.-Eight eye normal in all respects. Child m good health. Moderate. 9. Boy *t. 3 years. First seen on April 6th 1898. Hack- nov (Published in Lancet, January 28th, 1899.) L. : upper lid red, swollen, and overhanging the lower i<L Thin muci-purulent discharge, with glutinous fli^eads stretching between the lids when the latter were separated. Easily deUcn. able membrane on the palpebral conjunctiva, /'ifiltration outei side cornea. Small impetiginous spots on ^^I'^J^^'^^^^f theritic). Cervical and pre-auricular gland F. Patient seemed quite well, ^o albumen in urine Thioat nose, and larynx normal. 2,000 units in]ected, and eye kept](https://iiif.wellcomecollection.org/image/b21643374_0016.jp2/full/800%2C/0/default.jpg)
