Negative diagnosis of surgical lesions of the stomach and cap / by Lewis Gregory Cole, M.D. Professor of Roentgenology in Cornell University Medical College.

  • Cole, Lewis Gregory, 1874-1954
Date:
1914
Catalogue details

Licence: In copyright

Credit: Negative diagnosis of surgical lesions of the stomach and cap / by Lewis Gregory Cole, M.D. Professor of Roentgenology in Cornell University Medical College. Source: Wellcome Collection.

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    cerebrospinal fever cases 195, or 9*5 per cent., were carriers; and that out of 2,813 new entries 52, or 1*84 per cent., were carriers. This investigation referring to the first half of 1916 forms the subject of a report by Fleet Surgeon H. C. Whiteside. In the “ Impregnable” Establishment the first case occurred on November 12 in “ Impregnable I ” and proved fatal. Cases then occurred in “ Impregnable III ” on November 25, December 2 (fatal), 4, and 8, the last two being from the same mess. On December 14 a case occurred in “ Impregnable 1Y ” (late “ Circe ”) in a boy who had communication with “Impregnable III.” After an interval of seven weeks 3 cases occurred in “ Impregnable I ” on February 4 and 12 (a case). On February 23 a case appeared in “Impregnable III.” After this isolated cases arose in “ Impregnable III ” on April 21, and in “ Impregnable I ” on June 8 and July 23. The last case was of rather special interest as the cerebrospinal fluid contained pneumococci as well as meningococci. There was a haemorrhagic rash, herpes of the nasal branch of the ophthalmic division of the fifth nerve, no evidence of pneumonia, and recovery. The number of cases (13) is larger than during the first year of the War (9), although, from figures kindly provided by Fleet Surgeon L. E. Dartnell, the individual cubic space is now greater than it was a year ago. The “ Powerful ” Establishment, which had 2 cases in 1914, and 2 cases in the first year of the War, both on April 10, 1915, in “ Powerful I,” had 7 cases between February 1 and April 29, 1916. Six cases occurred in “Powerful I” on February 1, 18, 19, March 29, April 2 and 29. One case arose in “ Powerful II ” on February 4. The increased incidence of cerebrospinal fever in “ Powerful I ” is due to some undetected factor, for the hygienic conditions have improved since the first year of the War ; the upper parts of the doors in the casemates, which are used for classes, have been perforated, thereby increasing the ventilation. The upper deck was roofed over and boys slept there since January 21, 1916 ; in this way 100 additional cubic feet per boy was obtained, and the incidence of catarrhal fevers forthwith diminished. Nevertheless cerebrospinal fever began on February 1. The Boy at Naval Barracks, Devonport.—A fulminating case occurred on March 22, 1918, followed on March 30 by a case which recovered, and on April 2 by a case which proved fatal with a secondary strepto¬ coccic infection from the lumbar puncture (vide p. 12). None of these cases had been in contact with cerebrospinel fever patients or with previously recognized carriers. As mentioned above a man attached to this depot died in London of cerebrospinal fever but was in the barracks for two days only. In the first year of the War there were fifteen cases in this depot. In the “Cambrian” two cases occurred among the stokers on January 10 (a fulminating case) and 30. No cases occurred here during the first year of the War. In the “ Indus” two cases occurred among the engine-room artificers on February 7 and 29. During the first year of the War there were two cases here. At the Marine Light Infantry Barracks, Devonport, no cases occurred. In the first year of the War there were three cases.