Hæmatemesis in a Case of Malaria *Rearranged by Editor.
نویسنده
چکیده
K., aged 32 years, Hindu male, was admitted into the Sambhunath Pundit Hospital on 25th April, 1937, with the history of having vomited blood three times during the previous night and passed blood per rectum. Condition on admission.?Temperature?98.2?F., respiration 24 and pulse 82 per minute. Volume?not good. Extremities?cold. Malsena once in my presence. Abdomen moving with respiration. Slight tenderness in the upper part of the abdomen. Spleen and liver not palpable. History of indigestion with pain in the abdomen for some time. Nothing abnormal detected in the lungs. No history of fever previous to admission. No difficulty in micturition, urine clear. On the following da}' malsena continued, and the condition did not improve in spite of the administration of haemostatics. Pulse was feeble and rapid. Temperature went up to 100.2?F. Blood examination on the 27th, while the patient had slight fever, showed presence of many benign tertian malaria parasites. Haemoglobin was 50 per cent and leucocytes 11.250 per c.mm. Treatment.?25th April. Injections of glucose, normal saline, horse serum and calcium gluconate. Foot end of the bed raised. Ice bag to the pit of the stomach. 26th April. Injections of calcium gluconate, congo-red solution and camphor in ether. Foot end of the bed raised. 27th April. Injection of quinine bihydrochloride gr. x intramuscularly. 28th April. Repeated the quinine injection. General condition of the patient improved and there was no
منابع مشابه
Two Cases Showing Cerebral Symptoms after Treatment with Quinacrine for Malaria *Paper rearranged by editor.
Case 1.?A Hindu male, aged 25, had slight fever on 16th November, 1944, no fever on 17th but high fever on the 18th when I was called. The patient gave a history of previous attacks of fever relieved by quinine. Physical examination showed nothing abnormal but a hard spleen 4 fingers below the costal margin; temperature 104?F. Quinine sulphate mixture was prescribed for the first day followed b...
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