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Holmes, Timothy Bacterial infections and mycoses
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St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Michael Hopkins, 28, Coachman

Occupation or role: Coachman
Age: 28
Gender: Male
Date of admission: 6 Aug 1851
Date of death: 23 Aug 1851
Disease (transcribed): Rheumatic fever (?), followed by inflammation of the synovial membrane of left shoulder joint. Ulceration of & deposit of purulent fluid in mucous membrane of larynx. Deposits of pus also at the surface of both lungs & in the right testicle
Disease (standardised): Rheumatic fever (Systemic); Inflammation (Shoulder); Ulcer (Larynx); Suppuration (Larynx, lungs, testicle)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: 'He was admitted on account of pain, supposed to be rheumatic, in the left shoulder, having been under treatment for the previous fortnight for rheumatic pain. The disease followed shortly after an exposure to cold & wet in the course of his employment (that of a coachman): he appeared to have been of intemperate habits & had laboured for some years under a winter cough’
Body parts examined in the post mortem: Left shoulder joint, thorax, larynx, abdomen, scrotum, testes

Type of incident: n/a

Sophia Percy, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Female
Date of admission: 25 Feb 1852
Date of death: 11 Mar 1852
Disease (transcribed): Abscesses and sinuses connected with diseased shoulder joint. Head symptoms. Scrofulous tubercle of large size found in the right optic thalamus. Slight scrofulous deposit in the lungs
Disease (standardised): Abscess (Shoulder); Tuberculosis (Brain); Tuberculosis (Lung)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: She had been twice before in the Hospital during last year on account of a large abscess situated at the upper and outer part of the right arm which was supposed to e connected with disease of the bones entering in to the shoulder joint.
Body parts examined in the post mortem: Cranium, abdomen, thorax and shoulder joint
Type of incident: n/a

George Hobbs, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 25 Feb 1852
Date of death: 15 Mar 1852
Disease (transcribed): Phthisis. Tubercular deposit in both lungs. Double old pleurisy. Flakes of recent lymph in pericardium and old white patches on hearts surface. Hypertrophy of heart and atheromic patches on valves. Stricture of urethra
Disease (standardised): Tuberculosis (Lung); Pleurisy (Pleura); Lymph (Heart); Disease (Heart); Plaque, atherosclerotic (Arteries); Constriction (Urethra)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man came under the care of the Surgeons for an old and rather tight stricture.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Ignatius Gabrielski, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 14 Jul 1852
Date of death: 5 Aug 1852
Disease (transcribed): Phthysis. Extensive deposit in both lungs. Firm double pleural adhesions. Extensive intestinal ulceration
Disease (standardised): Tuberculosis (Lung); Adhesions (Pleura); Ulcer (Intestines)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holmes, Timothy
Medical notes: A Polish man who could speak no English. He had been suffering for some time from cough, emaciation and latterly had lost his voice.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Isaac Brown, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Male
Date of admission: 25 Aug 1852
Date of death: 1 Sep 1852
Disease (transcribed): Tetanus following a lacerated wound of the hand. Post mortem effects found were softening of the fornix of the brain and of entire spinal chord to some extent (PM results?)
Disease (standardised): Tetanus (Systemic); Laceration (Hand); Softening (Brain); Softening (Spinal cord)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: Six days before his admission he applied as an out patient on account of a lacerated wound of the hand caused by chaff cutting.
Body parts examined in the post mortem: Spinal column, cranium, abdomen and thorax
Type of incident: Trauma/accident

William Gay, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6
Gender: Male
Date of admission: 12 May 1852
Date of death: 25 Sep 1852
Disease (transcribed): Scrofulous deposits in the right cerebral hemisphere, also in the lungs. Hepatized lung. Disease of the hip joint with dislocation of the head of the bone. Diseased os innominatum
Disease (standardised): Tuberculosis (Brain); Tuberculosis (Lung); Disease (Lung); Disease (Hip); Dislocation (Hip); Disease (Pelvis)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: On admission it was stated that this boy had been lame for a long while and he ad kept to his bed for the last five months.
Body parts examined in the post mortem: Cranium, thorax, abdomen and left hip
Type of incident: n/a

Elizabeth Rudd, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Female
Date of admission: 27 Oct 1852
Date of death: 30 Oct 1852
Disease (transcribed): Scrofulous deposits with vomicae in both lungs. Old pleural and pericardial adhesions. Ulceration of intestines. Ulceration of the alveolar process of upper jaw
Disease (standardised): Tuberculosis (Lung); Adhesions (Pleura); Adhesions (Heart); Ulcer (Intestines); Ulcer (Jaw)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This woman was admitted on account of disease of the upper jaw which had existed for about a year.
Body parts examined in the post mortem: Upper jaw, thorax and abdomen
Type of incident: n/a

Elizabeth Gardiner, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Female
Date of admission: 31 Oct 1852
Date of death: 31 Oct 1852
Disease (transcribed): Operation for the relief of strangulated inguinal hernia. Ulceration of the small intestines found to exist. Scrofulous deposits in the lungs with vomicae on the right side
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Ulcer (Intestines); Tuberculosis (Lung)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This woman observed for several years a tumour in the left groin.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Samuel Wisenden, 52, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 52
Gender: Male
Date of admission: 1 Nov 1852
Date of death: 8 Nov 1852
Disease (transcribed): Scrofulous deposit and vomicae in lungs. Diseased heart. Disease of the right elbow joint
Disease (standardised): Tuberculosis (Lung); Disease (Heart); Disease (Elbow)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man had had disease of the right elbow apparently for about a year.
Body parts examined in the post mortem: Elbow joint, larynx, thorax and abdomen
Type of incident: n/a

George Savage, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Male
Date of admission: 3 Nov 1852
Date of death: 30 Dec 1852
Disease (transcribed): Scrofulous deposit in the lungs. Diseased kidneys. Vegetation on valves of the heart
Disease (standardised): Tuberculosis (Lung); Disease (Kidney); Disease (Heart)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient had first suffered from dropsy about two months before admission.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Mary A Drew, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: 30 Aug 1853
Date of death: 24 Dec 1853
Disease (transcribed): Caries of the tarsal bones. Phthisis. Scrofulous tubercles in one kidney
Disease (standardised): Caries (Foot); Tuberculosis (Lung); Tuberculosis (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This woman had been in the hospital in the early part of the year with disease of the right foot and cough.
Body parts examined in the post mortem: Thorax, abdomen and right inferior extremity
Type of incident: n/a

John Liddington, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 2 ½
Date of admission: 19 Jul 1853
Date of death: 20 Feb 1854
Disease (transcribed): Phthisis. Deformity from cicatrices of burn. Operation
Disease (standardised): Tuberculosis (Lung); Burn (Skin); Scar (Skin); Operation
Admitting doctor: Hawkins, Caesar Henry
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This child was admitted in July of last year on account of a superficial burn of the neck, arms & face. The burn of the neck & right arm was followed by sloughing & the child was at first in rather an alarming state’
Body parts examined in the post mortem: Thorax, abdomen

Type of injury: n/a

Mary Ann Holden, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Female
Age: 14
Date of admission: 16 Feb 1854
Date of death: 27 Feb 1854
Disease (transcribed): Scrofulous deposit beneath pericranium & skull. Disease of the liver, spleen and kidneys
Disease (standardised): Tuberculosis (Skull); Disease (Liver); Disease (Kidney); Disease (Spleen)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This child, when admitted, was in a state of extreme scrofulous cachexia, with a large sloughy sore over the forehead exposing the bone of the cranium’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

William Beauchamp, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 54
Date of admission: 19 Mar 1854
Date of death: 25 Mar 1854
Disease (transcribed): Femoral hernia. Operation. Omentum adherent to sac. Sloughing of gut. Incipient peritonitis
Disease (standardised): Hernia (Thigh); Operation (Thigh); Sloughing (Gut); Peritonitis (Abdomen)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man was admitted on the 19th of March on account of strangulated hernia. It appeared from his account that he had had a hernia for the last 8 years’
Body parts examined in the post mortem: Thorax, abdomen

Type of injury: n/a

Joseph Morley, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 53
Date of admission: 13 Apr 1854
Date of death: 8 May 1854
Disease (transcribed): Abscess of the prostate gland opening into the urethra. Abscess of the lung
Disease (standardised): Abscess (Prostate); Abscess (Lung)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man was admitted, on account of difficulty in micturition, under the care of the surgeon, but he presented all the usual symptoms of phthisis in an advanced stage & was on that account attended by Dr Bence Jones’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of injury: n/a

William Lang, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: [No age stated]
Date of admission: 10 May 1854
Date of death: 12 May 1854
Disease (transcribed): Phthisis. Tubercles & vomicae in both lungs. Ulcerated epiglottis. Ulcerations of the intestines
Disease (standardised): Tuberculosis (Lung); Abscess (Leg); Ulcer (Larynx); Ulcer (Intestines)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man was admitted under the surgeon by some mistake. He had laboured under pulmonary phthisis for about a year’
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of injury: n/a

James Hall, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 57
Date of admission: 15 May 1854
Date of death: 21 May 1854
Disease (transcribed): Diffuse suppuration of the cellular tissue of the scrotum & cord. Bronchitis
Disease (standardised): Suppuration (Genitalia); Bronchitis (Lung)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man, whose appearance was that of a person far more advanced in life than the age which he gave, was admitted on account of a swelling on the left side of the scrotum’
Body parts examined in the post mortem: Scrotum and spermatic cord, thorax, abdomen, spine

Type of injury: n/a

William Hamlet, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 42
Date of admission: 16 May 1854
Date of death: 7 Jun 1854
Disease (transcribed): Phthisis pulmonalis. Ulceration of the intestinal canal
Disease (standardised): Tuberculosis (Lung); Ulcer (Intestines)
Admitting doctor: Bence Jones, Henry
Surgeon: Gray, Henry and Holmes, Timothy
Physician: Barclay, Andrew Whyte
Medical notes: 'This man was admitted with an attack of diarrhoea which had lasted nearly 3 weeks. He had slight cough’
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of injury: n/a

Thomas Smith, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 54
Date of admission: 29 Oct 1854
Date of death: 31 Oct 1854
Disease (transcribed): Inguinal hernia. Operation. Diffuse inflammation of cellular tissue. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation Inflammation Peritonitis (Abdomen)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man had an inguinal hernia on the right side for 20 years, & had abscess
Body parts examined in the post mortem: Abdomen, thorax

Type of injury: n/a

Eliza Grace, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Female
Age: 43
Date of admission: 23 Aug 1854
Date of death: 1 Nov 1854
Disease (transcribed): Abscess of the breast. Secondary deposits
Disease (standardised): Abscess (Breast)
Admitting doctor: Tatum, Thomas
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This woman was admitted on account of an abscess in the right breast, which was open & discharging freely at the time of her admission’
Body parts examined in the post mortem: Thorax, abdomen, right shoulder

Type of injury: n/a

Alice Nightingale, 21 months, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 21 months
Gender: Female
Date of admission: 16 Dec 1859
Date of death: 23 Jan 1860
Disease (transcribed): Phthisis. Mesenteric disease. Incipient rickets. Diseased liver. Old burn
Disease (standardised): Tuberculosis (Lungs); Disease (Abdomen); Rickets (Bones); Disease (Liver); Burn (Skin)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This child was admitted with an extensive burn of the left arm, extending from the shoulder to the back of the hand. It was cut very deep, except in one part about the middle of forearm. She was also evidently suffering from tabies mesentericus which was supposed to have existed for 6 months’
Body parts examined in the post mortem: Cranium., left arm, thorax, abdomen

Type of incident: n/a

James Henderson, 22, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 22
Gender: Male
Date of admission: 18 Jan 1860
Date of death: 9 Feb 1860
Disease (transcribed): Phthisis. Diseased kidneys. Old dislocation of radius
Disease (standardised): Tuberculosis (Lungs); Disease (Kidneys); Dislocation (Wrist)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'Few years before his admission, this man had some complaing which he described as ‘chronic fever’ and it appeared he never was well afterwards, Five months afterwards he coughed up a large quantity of blood, and ever afterwards had a slight cough’
Body parts examined in the post mortem: Left arm, thorax, abdomen

Type of incident: n/a

Harriet Pile, 39, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 39
Gender: Female
Date of admission: 1 Feb 1860
Date of death: 14 Feb 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'When this patient was admitted, she appeared in an excited, half-crazed state, and could not give a very lucid account of her preceding symptoms. She said that she had been ill for two years, that she had spat blood, and had cough with frequent vomiting. She had not menstruated for 18 months’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Alfred Amos, 36, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 36
Gender: Male
Date of admission: 1 Feb 1860
Date of death: 19 Feb 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'For 12 months this man had suffered from cough, expectoration and increasing debility. For three or four months he had had habitual night sweats’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

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