Report on an outbreak of enteric fever in the county borough of Bournemouth and in the boroughs of Poole and Christchurch / by W. Vernon Shaw.

  • Shaw, W. Vernon (William Vernon), 1874-1937.
Date:
1937
Catalogue details

Licence: Public Domain Mark

Credit: Report on an outbreak of enteric fever in the county borough of Bournemouth and in the boroughs of Poole and Christchurch / by W. Vernon Shaw. Source: Wellcome Collection.

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    APPENDIX 3. Notes on the Clinical Aspect, etc. The clinical features varied from a mild attack with little constitutional disturbance to severe prostration with intense intoxication and death. Some of the younger patients had a sharp onset with headache, nausea, pyrexia up to 104° F. to 105° F., and abdominal discomfort: while others showed such evidence of cerebral irritation as stupor, squint and the characteristic cry of meningitis. Some of these cases had a fatal issue, but those who recovered did so with great rapidity and completeness. In several instances there was diarrhoea for the first few days. Early broncho-pneumonia was a feature in some cases and in others the infection was centred upon the genito-urinary system. This complication prolonged the illness for several weeks beyond the initial period of pyrexia. Four patients had perforation of the bowel and were operated upon; two recovered. Intestinal haemorrhage was also met with in several instances and necessitated in -one case transfusion of blood from a suitable donor. There were a few cases of phlebitis with venous thrombosis during con¬ valescence and one convalescent child died suddenly from pulmonary embolism. Of the 284 Bournemouth resident patients, 31 died, giving a case fatality of 10-9 per cent., while the corresponding figures for Poole are 205, 17 and 8-3 respectively. There were at Christchurch 29 patients and three fatal cases, giving a fatality rate of 10-3 per cent. Age and Sex Incidence. Bournemouth. Age. °~5 6-10 n-15 16-20 21-25 26-30 31-35 36-40 4lJr POOLE. Age. o-5 . 6-10 n-15 . 16-20 21-30 31-40 . 41 + Male. Female 19 15 26 28 21 24 7 24 10 15 13 11 4 9 2 9 13 34 115 169 Male. Female. 15 14 15 i5 H 15 15 17 9 21 6 20 7 22 81 124