Epidemic of scarlet fever at Donaldson's Hospital during the autumn and winter of 1861 / by James D. Gillespie.

  • Gillespie James D. (James Donaldson), 1824-1892.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Epidemic of scarlet fever at Donaldson's Hospital during the autumn and winter of 1861 / by James D. Gillespie. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    February, and was supposed to have been imported from town where it was raging, as the children had been permitted to visit their friends three days before the first case appeared. The cases occurred as follows :— 18th November 1855 23cl „ „ 24th „ „ 25th „ „ 29 th „ 8th December 9th 10th 16th 23d 6th January 1856 5th February „ 1st March „ )•) >> 1J 1 Deaf, mute girl. 1 do. g ( 2 Hearing girls. ( 1 Deaf mute boy. 2 Hearing girls. 1 Deaf mute boy. 2 Hearing boys. 1 Hearing girl. 2 Hearing girls. t 1 Deaf mute girl. 1 Hearing girl. 1 Deaf mute girl. 1 Deaf mute boy. 1 Hearing boy. Of the 3 cases in which coagulable mine was detected, the following particulars may be noted. In the first case, M. M., a deaf mute girl, the fever commenced on 23d November, with extreme prostration of strength, a pulse 176 in frequency, and a livid-coloured eruption. In the course of the disease the wrists became swollen and painful. The water was repeatedly examined at this time, but was found natural. On the 18th December, however, when the child was considered con- valescent, being up and moving about in the sick-room, her water was observed to be very high-coloured, and when tested by heat and nitric acid was found coagulable. Two or three days after- wards, it was again tested, but the albumen had disappeared. In the second case of albuminuria, A. M., a deaf mute girl, the disease commenced on 16th December. She had high sthenic fever, pulse 132, and a copious vivid eruption. On 26th December she was allowed to rise. On 31st December she was seized with sickness, vomiting, and fever, with almost complete suppres- sion of urine, only three ounces being passed in the twenty-four hours. This was examined and found highly coagulable. On 5th January the water was found not coagulable ; but again, on the 8th and 10th, slight coagulability returned; on the 14th there was only a trace, and thereafter this symptom disappeared. In the third case of albuminuria, S. T, a deaf mute boy, the fever began on the 5th of February, was of a sthenic type, with a diffuse florid eruption and acute sore throat. Desquamation com- , menced on the 12th, and was very general over the entire surface of the body; on the 21st the patient was permitted to rise. On the 23d he had headache, and was dull and apparently oppressed. The urine was scanty, not high coloured, and not coagulable; density, 1016. On the 25th he felt better, the urine being more abundant, and its density 1024, not coagulable. On the 28th he