Africa : blackwater fever in the tropical African dependencies : reports for 1913.

Date:: 1915

Catalogue details

Licence: Public Domain Mark

Credit: Africa : blackwater fever in the tropical African dependencies : reports for 1913. Source: Wellcome Collection.

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» CASE 18. REPORT ON A CASE OF BLACKWATER FEVER AT CAPE COAST. European, age 33 years. I. Locality — (a) The bungalow is situated on a hill outside the town. The surroundings of the house are kept free from bush, and the drainage is excellent. The office is situated in the midst of the native community, but the patient invariably left it by 5 p.m. (b) This is the second attack of hemoglobinuria that the patient has had in the same house within the last five months. (Vide Case 5, ante.) (c) Personal habits very clean, but seldom, if ever, took quinine between his different attacks of fever. He often had small attacks of fever without calling for medical advice. Owing to the good position of his house it is practically free from mosquitoes. I was unable to find any biting flies in the vicinity. II. Seasonal variation.— Close of an exceptionally wet season. Moderately hot. III. Personal history. (a) Resident on the West Coast for the past twelve years. In 1909 he was inva- lided to England with remittent malaria, and during the voyage home had black- water fever for the first time. In 1911 he was invalided home with anzmia, the result of malaria and hepatitis, having contracted lues in 1910. In May of the present year he had his second attack of blackwater fever, and at the beginning of this month (October) a sharp attack of hepatitis, with mild malaria, from which he had com- pletely recovered by the 17th October. OCTOBER MONTH oe sé [6 lol2i66 olaztéi6lol2zié fel | Coe ae es eT Ea! Bd At A ENSSEREsa | TL | PULSE @ Zo |_| P| ay S52 cfo2s| der | ays | jos] Somes sera] laze epee faz [ee] On the morning of the 21st October he sent for me because he had passed some “blackwater.” I saw him at 6a.m. His temperature was then 100°4°, skin moist,