mentions that in some eases of acute and chronic dysentery an 

 abundant hemorrhage of the intestine may be observed. When it 

 supervenes in an individual already weakened by former losses or 

 by many days of disease, death may result from it, the patient 

 dying in collapse. None of these authors, however, refer par- 

 ticularly to hemorrhages in amebic dysentery. Kruse and Pas- 

 quale^ in their extensive monograph do not mention severe hemor- 

 rhage in amcebic enteritis, and Harris,^ in a summary of his own 

 thirty-five cases of the amoebic variety and of seventy-eight others 

 collected by him in the United States, also does not refer to this 

 complication. Osler,^ however, calls attention to it in acute amcebic 

 dysentery, and states that, of the cases admitted to his wards during 

 the past twelve years, there were seven in which hemorrhage 

 occurred from the bowel. The only direct reference I have been 

 able to find in the literature of amoebic dysentery in which the 

 patient appeared to succumb from the loss of blood is one reported 

 by Loeffler.* In this case only 125 cubic centimeters of clotted 

 blood were passed from the rectum. The author states that here 

 a diphtheritic inflammation of the intestine was added to the 

 amoebic infection. It was the only instance of this nature ob- 

 served by LoeflBer. 



The following cases of amoebic dysentery are the only ones which 

 have come under my notice which have succumbed to the hemor- 

 rhage and therefore they seem worthy of report : 



Case No. 1. Amcebic Dysentery; Liveb Abscess; Severe Multiple 

 Intestinal Hemorrhages ; Death ; Autopsy. 



The patient, a well-to-do merchant, aged 36 years, had resided 

 in Manila for the past two years. On February 4, 1902, he con- 

 sulted the author, complaining of a dysentery of several weeks' 

 duration. An examination of the stools showed the disease to be 

 of the amoebic variety, the faeces containing considerable blood and 

 mucus and many actively motile amoebge, some inclosing red blood 

 cells. He was advised to enter the hospital for treatment, which 

 he did. On admission the subcutaneous fat was everywhere very 

 abundant. The tongue was lightly coated and the conjunctivae of 

 good color. The examination of the heart and lungs revealed 



' Zeitsch. fur Hygiene, 1894. 

 '^American Journal Med. Sciences, 1898. 

 ' Practice of Medicine. 

 * Allbutt's System of Medicine, Vol. II. 



