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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    sore throat, and a very indistinct mottling of chest; eyes suffused. 8th, Pulse 116. 10th, Fever abated. 15th, Convalescent. Case 34. —M. A., deaf mute girl; admitted 7th January; sickad vomiting; cold; pulse weak, 120; throat very slightly affected. 8th, Pulse 126; hardly any trace of eruption. 9th, Pulse 120. 12tli, 1 ulse 126. 18th, Convalescent. No albuminuria. _ , Case 35.—C. M., hearing girl; admitted 8th January, with sickness and headache, but no sore throat; no eruption; pulse 114; tongue white, with enlarged papillae. 9th, Pulse 114. 10th, Pulse 100. 15th, Convalescent. No albuminuria. _ . . A Case 36.—J. O., hearing girl; admitted 8tli January, with sickness and vomiting; fever moderate. 9th, Pulse 108, very weak; eyes suflused , no eruption apparent. 10th, Pulse 100. 15th, Convalescent. No albummuna. Case 37.—G. M., deaf mute girl; admitted 9th January, with sickness and sore throat; eyes suffused ; face flushed ; no eruption visible ; not much fever. 10th, Fever high ; pulse bounding, 108 ; slight mottling of chest; throat veiy slightly affected. 12th, Fever abated. 15th, Convalescent. No albuminuria. Case 38.—J. P., deaf mute girl; admitted 10th January, with sickness, headache, but no sore throat, and no eruption ; pulse 120. 12th, 1 ulse 100 ; tongue white with enlarged papillse. 13th, Very slight appearance of mottling on chest below the skin; fever much abated; pulse 88 ; tongue very foul, covered with dirty white fur. 15th, A little more distinct appearance of mottling on chest; tongue loaded with brownish-white fur, red at tip and edges, with enlarged papilke; no fever whatever; pulse 72. 20th, Con- valescent. No albuminuria. Case 39.—A. T., hearing boy; admitted 10th January, with slight sore throat, slight fever, and no eruption. 14th, Tongue brown, dry, and red at sides and tip; fever moderate. 15th, Pulse 82. 17th, Convalescent. No albuminuria. Case 40.—E. S., hearing girl; admitted 12th January, with slight sore throat, and fever. 13th, Fever not high; Pulse 108; skin moist; throat slightly injected, not painful; no eruption. 15tli, Convalescent. No albu- minuria. Case 4f.—J. W., hearing boy; admitted 12th January; deadly sick, but not vomiting; intense pain of head, intolerance of light; fever very high; pulse 150; very slight sore throat; no swelling, nor much redness of fauces, merely a few red spots on soft palate; no eruption on skin; to have a bath and cooling mixture. 13th, Profusely sweated by bath, and diaphoresis kept up by the mixture ; was very quiet all night; pulse 100, very weak ; no trace of eruption; head heavy; much inclined to dose ; eyebrows disagreeably con- tracted ; no sickness; vapour apparatus to be applied. Afternoon, Seen in consultation by Dr Andrew Wood; stimulating treatment to be adopted, and the sweating continued ; three grains of the carb. ammon. to be given every three hours, and small quantities of brandy occasionally. 8 P.M., Slightly better ; pulse 100 ; 14th, Throughout last night frequently delirious; talking incessantly in a low muttering style; sensible only when roused. After examining the boy this forenoon, and making him show me his tongue, to which he objected in a semi-delirious way, saying he had shown it to me before, and there was no use showing it again, I had gone into the next room, and was in the act of sitting down to write my report, when I was hastily sum- moned to see the boy, as the nurse thought he was in a fit, and on entering the ward, 1 found a fearful change had taken place. He was foaming at the mouth ; the lips were livid, almost black ; the cheeks and eyebrows much the same, but not quite so deep in colour; the pulse very frequent and full; the pupils enormously dilated; the breathing became very slow and laboured, the pulse continuing regular and firm; and within three minutes of the time in which he had spoken to me he was dead, though the pulse was felt beating for fully a minute or longer, I should say, after he had breathed his last. Till with- in an hour or two of his death he passed plenty of water, never doing so in-