Sessional_Paper_1903 — Page 496

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YK, Japanese, male, at. 15, admitted to Kennedy Town Hospital on 8th June, 1903, suffering from Plague.

Third day of illness. Temp. 102-2° F. A large diffuse Right Cervical Bubo. Plague Bacilli in blood. No delirium.

Treatment.-Acid Carbolic, gr. viii, in mixture, every 2 hours. Tinct. Digi- talis m. and Liq. Strych. m. iv, in mixture, every 6 hours. Belladonna, locally, to Bubo. Brandy, 3 oz., in 24 hours. Liquid diet.

10th June.

Tendency to pyrexia. Controlled by iced compresses. Temp. normal. Tea and toast.

12th June.

17th June.

Digitalis and Strych. stopped.

18th June.

every 4 hours.

Bacilli still in blood, but rare. Bubo fomented.

Acid Carbolic reduced to gr. vi,

20th June.

Solid food.

22nd June. No Plague Bacilli in blood. Acid Carbolic stopped. Bubo incised.

5th July. Bubo healed. Discharged from Hospital.

J- -H- English, male, t. 30, Armourer-Sergeant, Hongkong Volunteer permanent staff, admitted to Kennedy Town Hospital on 16th June, 1903, suffer- ing from Plague,

Had been run down in health for six weeks before, but actual Plague attack seems to have commenced on 10th June, when he first noticed a swelling and tenderness in the Right Axilla. Did not note fever, but felt out of sorts.

At admission, Temp. 101° F. Plague Bacilli in blood.

Right Axillary Bubo of size of duck's egg.

Treatment.-Acid. Carbolic, gr. xii, in mixture, every 2 hours. Tinct. Digi- talis m. vii and Liq. Strych. m. v, in mixture, every 6 hours. Belladonna, with fomentations, locally, to Bubo. Brandy, 4 oz., in 24 hours. Liquid diet.

20th June. Digitalis and Strych. stopped. Diet improved.

23rd June. Solid food.

25th June.

Bubo resolving without suppuration. No Plague Bacilli now in blood. Acid Carbolic stopped.

30th June. Ung. Hydrarg. Iod. Rub. to be rubbed in over remains of bubo. 6th July. Bubo gone. Discharged from Hospital.

An interesting feature in this case is, that in its initial ambulant stage on 14th June, ie, two days before admission to Hospital, Armourer-Sergeant H. at- tended a church parade at St. John's Cathedral, and was publicly presented by His Excellency the Governor with the South African war medal. He does not seem to have at that time suspected Plague, but says that on account of the pain in the Right Axilla he had great difficulty in raising his hand to the salute after the medal had been pinned on his breast.

English, married lady, admitted to Kennedy Town Hos- pital on the 8th June suffering from Plague.

Had been out of sorts for some weeks: Attack of Plague commenced on the 5th June, when she had fever 104° F. On 6th June, Temp. 1023 F., and tender- ness in left groin.

7th June, Temp. 100° F.

8th June. Plague diagnosed, and patient admitted to Hospital. Temp. 99.6° F. Left Inguinal Bubo, of size of small hen's egg, and slight tender swelling in Left Femoral Region, Plague Bacilli in blood. Patient very nervous, but otherwise in good condition.