Report on certain outbreaks of yellow fever in 1910 and 1911 / West Africa.

  • West Africa.
Date:
1913
Catalogue details

Licence: In copyright

Credit: Report on certain outbreaks of yellow fever in 1910 and 1911 / West Africa. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    two minim doses of nitro-glycerine given as required. At noon the cardiac distress increased. The urine was suppressed. He was more or less comatose ; there was twitching of the muscles of the face and neck. At 3.50 p.m. he had black vomiting and died. Immediately after death the face was of a bright yellow colour, but this speedily disappeared. Bluish discolourations were noticed about the neck, arms, penis, and scrotum. Post-mortem Examination.—This was made at about 5 p.m. on May 31st and was limited to an examination of the stomach and liver. The conjunctivae were slightly yellow. The stomach contained a large quantity of almost black fluid. The stomach wall was congested, the mucous membrane being swollen and injected in patches with a few punctate htemorrhagio spots. The small intestine contained similar material to that in the stomach. The liver was greatly congested. There was no boxwood appearance. Laboratory Report.—On examination, during his illness, of the patient's serum for the Widal reaction a negative result was obtained. CASE 10. A Tradek, aged about 60 years. Previous History.—Before becoming a trader the patient, who was a sailor, had lived a seafaring life, travelKng to and from West Africa for about 20 years. His previous illnesses and his habits as regards quinine prophylaxis were not known. He had been living in Freetown for some time before his present illness. 42° - 41 r40° -39 58°|- f2i -37» -36 '-35'' History of Present Hlness.—On the morning of June 3rd he stated that he had had a restless, sleepless night and complained of feeling agitated and worried. On June 4th he had a severe rigor followed by fever; he went to work however, but whUe at business vomited bile and dark green fluid. He returned to bed and slept almost continuously until noon on June 5th, when he awoke with headache and sought medical advice. On examination he was very flushed, his skin hot and dry, and his eyes were injected and bright. The temperature was 104'6°. The pulse rate 72 to the minute. There was no jaundice. The urino was acid in reaction and albuminous. The tongue was coated in the middle, the edges being clean. The bowels had been moved twice. At 5.30 p.m. he was admitted to hospital. His temperature then was 103'6°. The pulse rate was 90 to the minute. The respirations 20. He was restless. Sternberg's treatment was commenced and calomel was given at bedtime. His sleep was twice interrupted during the night by going to stool. The motions were copious, of a grey colour, and offensive. He vomited dming the night on to his mosquito curtain, which was stained black.