A case of endemic haematuria from the Cape of Good Hope / by Arthur Davies.

  • Davies, Arthur Templer, 1858-1929.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: A case of endemic haematuria from the Cape of Good Hope / by Arthur Davies. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ^rtpPU cO lOc. <■ Jl [Eeprint^lfrom St. Bartholomew’s Hospital Reports, VoL XX.] ^ l / % / : ■ .'OS' # ■ . .ft* \ <s> \% —1 1 A CASE OF ENDEMIC HEMATURIA hhm- yj FROM THE CAPE OB G0OB HOPE. ZSRy BY ARTHUR DAVIES, M.B. I am indebted to Dr. Andrew for kindly allowing me to pub- lish the notes of this case. PI. G., a native of Kent, lived from 1875 to 1879 in Cape Colony, at a place called Hanover. In 1879 he went to the Transvaal, where he lived for three years in a low-lying, marshy district. In August 1882, just before arriving at the newly- discovered goldfields on the hol ders of the Transvaal and Swazi- land, and 500 miles distant from where he was formerly living, he first noticed that he passed two or three drops of bright red blood after each act of micturition. For three mouths the quan- tity passed remained the same: he was iu perfect health, and sulFered no pain whatever. In November 1882 he returned to Cape Colony, and in December of the same year he caught a severe cold ; his hsematuria now increased, so that he passed about twenty drops of blood after each act of micturition. He still felt quite well, and suffered no pain; he noticed also that brackish water seemed to increase his hsematuria. Iu July 1883 he began to experience for the first time some pain iu the hypo- gastric region, and he suffered pain whilst passing his water. In August 1883 he was appointed a Government time-keeper, which post involved continuous riding on horseback for several hours, so that he passed his water at long intervals; his urine now assumed a brownish colour resembling porter, and he had some difficulty iu passing it; the dysuria was caused by the formation of what he calls “clots,” which obstructed the pas- sage of the urethra. Iu the intervals of passing his water he suffered from a gnawing, uneasy sensation at the root of the penis, and he felt weak. Iu February J884 he had an attack of inflammation of the bladder, which lasted three weeks; continued