232
54
Case XXV.--Chinese.
Æt. 14.
Admitted 19th May, 1894. Showed the following temperature chart. In the first instance had a right axillary bubo and the notable point in her history was that on the 2nd June, fresh buboes in the right groin and left neck appeared which increased to a very considerable size and which in addition to the primary one suppurated.
MAY.
19 20
106
21 22
23 24 25 26 27 28 29 30 31
1 2
JUNE, 1894.
3 4
105-
104-
103-1
102-
101-
100+
99
98-1
Case XXVI--English, Et. 45.
Admitted to Civil Hospital 31st May, temperature 104° F. rising to 105° F. in the evening. Right axilliary bubo with very great surrounding wedema developed during the night; removed to Hygeia in the morning. This was a very alcoholic subject who had been " on the beach" for some time and who was an almost hopeless case whenever delirium set in. He died suddenly at 3 a.m, ou June 5th after using the bed pan. There were many enquiries as to how this man became affected and doubts as to the correctness of diagnosis were freely expressed by people who did not know that he had been wandering about the slums of Taipingshan for the previous fortnight.
Case XXVII--English. . 24.
Admitted 29th June, 1894. Seut in as a case of plague. Was found suffering from well marked lymphangitis and erythema of right leg, irritative bubo in right groiu, temperature 102° F. Had been diagnosed on seeing bubo as plague. However, he had in addition a dirty foul ulcer on the dorsum of the foot which evidently was the cause of the above condition. He had none of the well marked symptoms of plague beyond “a bubo," and no bacilli were found in the blood or in the bubo. He had been a chronic alcoholic for some time. Under suitable treatment he got well in a few days.
Remarks.This was one case of several sent in as plague, where evidently the practitioner sending them to Hospital either made a mistake or did not take sufficient time to make a careful examination, which was all the more necessary at that time as the moral effect of the announcement of "another European case of plague" was not reassuring to many European residents who were unable to get reliable information.