A case of fatal haemorrhage from the throat / by J.D. Rolleston.

  • Rolleston, John Davy, 1873-1946.
Date:
[1913]
Catalogue details

Licence: In copyright

Credit: A case of fatal haemorrhage from the throat / by J.D. Rolleston. 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.

    3/6
    Beprinted from ‘ The British Journal of Children’s Diseases,’ February, 1913, Vol. X, pp. 66-69. A CASE OF FATAL HAEMORRHAGE FROM THE THROAT* By J. D. Rolleston, M.D., Assistant Medical Officer, Grove Fever Hospital, London. A girl, aged 6 years, was admitted to hospital on October the 22nd, certified to be suffering from diphtheria. Beyond an attack of whooping-cough at the age of three years she had until recently been a healthy child, and there was no family history of bleeding. Five weeks before admission she had had measles, since when her voice had been husky. On October the 20tli she complained of sore throat, and on the 22nd she had a croupy cough and the neck glands became swollen. Condition on admission.—Deposit on both tonsils and uvula, slight , nasal discharge, voice husky, stridor, croupy cough and dysphagia, Temperature 100° F. 16,000 units of diphtheria antitoxin given. October the 23rd.—Deposit cleai’ing away, leaving marked ulcera- > tion of tonsils and uvula. No foetor. No Vincent’s organisms found i in the throat smear. Temperature 103° to 100° F. October the 24th.—Dysphagia less. Temperature 102-4° to 99° F. October the 25th.—At 9 a.m. she suddenly gave a cough and a huge ii gush of blood poured out of the mouth. Death preceded by marked cyanosis occurred within five minutes. No diphtheria bacilli but only cocci were found in three successive k cultures from the throat and one from the nose. Necropsy : October the 26th.—Abscess cavities in both tonsils, p ulceration of the uvula, soft palate, epiglottis, fraenum epiglottidis, valle- 1' culje, and ary-epiglottidean folds. Deep ulceration of laryngeal portion i of pharynx exposing muscular tissue. Three small superficial ulcers I1 above right vocal cord. The exact site of the bleeding vessel was * Specimens of the ease were shown at the Section for the Study of Disease in Es Children of the Eoyal Society of Medicine, on November the 22nd, 1912.