Malarial haemoglobinuric fever (so-called), blackwater fever of the Gold Coast, chiefly from a clinico-pathological standpoint : with illustrative cases / by B.W. Quartey-Papafio.

  • Quartey-Papafio, B.W.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Malarial haemoglobinuric fever (so-called), blackwater fever of the Gold Coast, chiefly from a clinico-pathological standpoint : with illustrative cases / by B.W. Quartey-Papafio. 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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    and soda ad lib., and Brand’s Essence of Beef. 12.30 p.m.—Perspiring profusely; temp. 101° F. ; pulse 80, regular and full, but weak; urine is still black and thick like molasses. Calomel gr. v. twice daily. 6 p.m.—Patient complains of his mind being cloudy, another attack of shiverings with chilliness, and vomiting came on at 3.30 p.m.; bowels have opened once, stool dark-reddish coloured; about 15 ounces of black urine passed; headache and nausea better; temperature 103‘2° F.; pulse 80, rapid, irregular but fairly strong. Antipyrin and quinine repeated. 28th July, 8 a.m.—Had a bad night. Shiverings came on at midnight, with vomiting of white frothy substance, after which the bowels acted twice, and passed urine four times. He com- plains of his voice being weak and broken, intolerance of light and insatiable thirst. Icteric dis- coloration of the skin is more pronounced. Tongue covered with dirty-yellowish fur ; temp. 101° F. ; pulse 55, intermittent and weak. Patient sponged down with tepid water, and underclothing changed. Poultice applied to the hepatic region and a saline aperient draught administered. To take egg-flip, and arrowroot and a tablespoonful of brandy every two hours. 12 a.m.—Complains of feeling tired; one watery stool; urine is of fair quantity but still black; temperature 101° F. ; pulse slightly irregular and weak ; to take Quinin. Sulph. gr. xv. 7.30 p.m.—Improving, but complains of weakness; temp. 100-8° F. ; pulse 80, regular, small, and weak; urine plentiful; colour has turned to dark-reddish colour and is clear; bowels have acted thrice; stools are peculiar, the colour and consistence are not unlike spinach covered with palm oil; thirst persists ; skin is cool and moist. To take Quinin. Sulph. gr. xv. 29th July, 8 a.m.—Had a very bad night, but shiverings did not return; temp. 101-4° F. ; pulse regular and weak ; urine is clear and light-coloured ; bowels not free ; lightning pains severe in the calves of the legs. A saline aperient draught administered. 12 noon.—Temp. 100'8° F.; pulse regular and weak; urine normal colour; bowels have acted once, stool has the same characters as last note. Patient sponged down and clothes changed. 7 p.m.—Temp. 100’4° F. ; pulse 60, regular and weak ; urine normal; tongue cleaning ; appetite improving. 30th July, 8 a.m.—Patient had a bad night; no sleep whatever ; pains and headache better; temp. 100'0° F.; pulse regular and compressible; symptoms of cinchonism developed ; bowels not open. Poultice stopped; saline draught repeated. 6 p.m.—Temp. 99-8° F.; pulse fairly good; one stool; urine normal. To take some toasted bread and chicken broth. 31 st July, 8 a.m.—Patient had indifferent night, woke up often; symptoms of cinchonism subsiding; urine normal; bowels not open ; discoloration of the skin improving ; temp. 99-2° F ; pulse 70, fairly good. 6 p.m.-—Temp. 99'8° F. ; pulse fairly good. Taking nourishment freely. Quinin. Sulph. gr. x. administered. ls£ August, 8 a.m.—Patient had a better night, and is improving. Bowels not free ; tongue clean; urine normal; temp. 99 2° F. ; pulse 70, regular and good; saline draught repeated; Mist. Pot. Acet. Co. stopped. To take chicken broth and blanc mange pudding. 6 p.m.-—Temp. 99-8° F.; pulse good ; two stools, dark-reddish coloured; urine normal; quinin. sulph. gr. x. administered. 2nd August.—Had a very good night; slept very well, and feeling much better and stronger; thirst much less ; temp. 99 2° F.; pulse 70, good; appetite keen; urine normal; pains in calves of legs, sides, and back have returned. Poulticing ordered. 6 p.m.—Temp. 101° F. ; pulse slightly febrile. Calomel gr. v. and quinin. sulph. gr. x. administered. 3rd August, 8 a.m.—Patient had a very good night, and slept very well. Bowels not open ; temp. 99-4° F.; pulse good; urine normal; quinin. sulph. gr. xv. administered. Brandy stopped, and to take champagne instead. 9 p.m.—Temp. 100-4° F. ; pulse fairly good ; quinin. sulph. gr. xv. administered. 4th August.—Patient is doing fairly well ; complains of neuralgic pains in eyes and about the face. Hands hot, but not the body generally. Bowels not open ; urine normal; temp. 99° F. ; pulse good. Pil. hydrarg. gr. iii., with saline aperient draught, ordered. 6 p.m.—Two stools at 1 p.m. Temp. 100° F.; pulse slightly febrile and weak. Quinin. Sulph. gr. x. administered. 5th August, 8 a.m.—Patient has made great improvement. Two stools during the night; neuralgic pains persist, but the feeling of intolerance of light has subsided. Temp. 99-2° F. ; pulse good. 6 p.m.—Temp. 100° F.; pulse good : quinin. sulph. gr. x. administered. 6th August, 8 a.m.—Patient had a better night, and improvement continues ; temp. 99° F.; pulse good; neuralgic pains better. Thirst and headache also better. 6 p.m.—Temp. 99-8° F.; pulse good; patient complains of sore mouth. He is, however, quite cheerful, and taking food well ; mouth wash ordered.