118
11. Appended to this report are notes of twelve cases of special
interest, six selected by Dr. Clemow, and six by Dr. Alice Corthorn.
12. It is with great regret that I have to mention the death of
Hospital Assistant Waman Narayan, who fell a victim to the Plague,
contracted in a post-mortem examination. He was an able and willing
worker and in him the Department has lost a most promising member. I
have also to record with regret the death from Plague of one hospital
sweeper and one ayah, both good workers.
13. The above is a report of the entire work of the Hospital during
the period under consideration. Of the 992 cases on which the statis-
tics are based, 247 were convalescent patients transferred from other
hospitals. Of this number 2 subsequently died. Observation and cases
other than Plague numbered 158 with 51 deaths. The actual return of
Acute Plague cases admitted and treated is therefore as follows :-
Cases admitted ...
587
Plague mortality 74?10?
discharged
152
died
435
Report of six cases treated in the old Government House Plague
Hospital, Parel.
(By Frank G. Clemow, M.D., Edin., D.P.H., Camb.)
CASE I.-BUBONIC PLAGUE.-ACUTE KERATO-IRITIS; LATE DEVELOPMENT OF
SECONDARY BUBO ; EXHAUSTION AND DEATH ON THE 15TH DAY.
Gunpat Khundoo, Hindu male, aged 21 ; admitted to hospital
March 6th, 1898, with a history of three days' illness.
State on admission.-The patient is semi-conscious and restless, at
times delirious and violent. The conjunctiv deeply injected, and there
are signs of commencing conjunctivitis. The tongue shows the charac-
teristic greyish-white coating covering the dorsum and leaving the tip and
edges pink and clean. The pulse is rapid and weak. The bowels have not
been opened for four days. There is no cough. There is severe frontal
headache. In the right groin is a very tender bubo, the size of a walnut.
The urine is acid and contains a considerable quantity of albumen. The
temperature is 102?4 ; pulse 120 ; respirations 28 ; the spleen is not
enlarged.