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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    April 2; and the last case, in a second-class stoker, began on May 30. Thus, out of 14 cases, 8 were among stokers second-class. In the “Egmont” 2 cases occurred on March 24 and 25 in a mid¬ shipman and a shipwright. At the Royal Marine Light Infantry Head Quarters 2 isolated cases occurred on December 1 and February 17. Crystal Palace. At this depot between December 28, 1915, and July 1, 1916, there were 8 cases with a mortality of 2, or 25 per cent., as compared with 33 cases and 21 deaths (63-6 per cent.) during the first year of the War. This fall in the incidence of the disease has followed improvement in the hygienic arrangements at the Crystal Palace. The cases were again treated at Croydon Borough Fever Hospital, the Resident Medical Officer of which kindly supplied information about the cases. The first case occurred on December 28, 1915, at a time when catarrh and mild influenza were prevalent, and was at first regarded as enteric fever. In January, 2 cases occurred on the 24th and 31st; in February, there were 3 cases on the 2nd, 5th and 20th. Isolated cases occurred on June 5 and July 1. These cases all received Burroughs, Wellcome and Co.’s serum; 5 also received a stock vaccine (Parke, Davis and Co.), 6 hexamine, and 3 soamin. Fleet Surgeon P. W. Bassett-Smith, C.B., found among 46 contacts 3, or 6T2 per cent., positive carriers, and among 4,233 non-contacts (new entries, and drafts for sea who had already done service or had com¬ pleted their training) examined during the first six months of 1916, 45 carriers, 37 of which occurred in March (8), April (20), and May (9). Shotley Training Establishment. There were 11 cases with 4 deaths, or 36-5 per cent., between November 16, 1915, and July 29, 1916, as compared with 7 cases (5 fatal) in the first year of the War. In addition a surgeon probationer (from H.M.S. “ Lydiard ”) was treated in the hospital and recovered. The first case occurred on November 16, 1915, in a boy who had been in hospital with otitis media and perforation of the drum for twelve days, and was convalescent when symptoms of meningitis arose and lumbar puncture showed that meningococcic infection was present. On November 19 there was a second case, also fatal. No more cases occurred until February 8, 1916, when a boy with otitis passed through an attack of cerebrospinal fever. Seven weeks later on March 31 there was another case in a boy who rapidly recovered, but had a relapse on May 21. Cases also occurred on May 8, 23, and on June 15. After four and a half weeks’ interval there was a sudden outburst of cases with the clinical symptoms of cerebrospinal fever in July. Of 15 cases 4 were bacteriologically proved to be due to meningococcic infection. The first positive case occurred on July 19 in a boy who had been in the Service fer one week and had been vaccinated six days before the onset of symptoms. A second proved case of cerebrospinal fever occurred on July 21 in the same dormitory (No. 7) which had an individual cubic space of 600 feet; this patient had joined two and a half weeks previously and had been vaccinated a week before the onset. Two other cases not bacteriologically positive occurred in the same dormitory on July 20 and 21. A third case of oerebrospinal fever arose on July 21 in another dormitory; this boy had