12 



tliioinlti are generally solid, though some are distinctly tuhular with 

 an open lumen in the center. Occasionally one sees a thromhus 

 extending from a Malpighian tuft into an afferent or efferent vessel, 

 or even as far as an interlobular one. A few thrombi are also 

 present in the small vessels of the medulla and likewise in the sub- 

 capsular glomeruli-free zone of the cortex. Changes of the vascular 

 endothelium of the thrombosed vessels are not demonstrable. All 

 through the renal tissue fairly numerous large bacilli, which retain 

 Gram's stain, are found. These micro-organisms clearly represent 

 a postmortem invasion frequently found in Manila in bodies upon 

 which the postmortem examination can not be made immediately. 

 Plague bacilli are not seen in the renal sections. 



Case No. 3. Left Inguinal Bubo. 



(Necropsy Protocol No. 940. S. Y. S., male Chinese, 25 years old, from 70 Santo 

 Cristo, Binondo. Ill six days. Died April 14, 1904, at 5.30 o'clock a. m. 

 Postmortem examination six hours after death.) 



Anatomic diagnosis. — Hypertrophy and hemorrhagic inflammation of the 

 left inguinal and iliac glands; passive congestion and parenchymatous 

 degeneration of the kidneys; congestion and oedema of the lungs; multiple 

 subserous and submucous hemorrhages ; moderate hypertrophy of the heart ; 

 old epicardial cicatrices ; atheroma of the aorta ; splenomegaly. Bubonic 

 plague. 



Microscopic examination. — No hyaline thrombi in the glomerular capil- 

 laries or in any of the other renal vessels. 



Case No. 4. Right Inguinal Bubo. 



(Necropsy Protocol No. 932. F. H., young male Filipino, from 20 Alma Street, 

 Tondo. Died March 20, 1904, at 2 o'clock p. m. Postmortem examination made 

 March 21 at 10 o'clock a. m., twenty hours after death.) 



Anatomic diagnosis. — Large granulating ulcer on the right heel. Con- 

 gestion and oedema of the lungs. Passive congestion of the liver and 

 kidneys. Parenchymatous degeneration of the kidneys. (Edema, general 

 hypertrophy, and congestion of the l^Tnph nodes, particularly of those of 

 the right inguinal region. Multiple subserous and submucous hemorrhages. 

 Bubonic plague. 



Microscopic examination. — No hyaline tlironibi in the glomerular capil- 

 laries or in any of the other renal vessels. 



(a.se No. 5. Right Inguinal Bubo. 



(Necropsy Protocol No. 977. O. C, Chinese male, 25 years old, from 214 San 

 Jacinto Street. Died after an illness of two days on May 25, 1904, at 9.15 p. ra. 

 Postmortem examination fifteen hours after death.) 



Anatomic diagnosis. — Congestion of tlio lungs; congestion and parenchym- 

 atous degeneiation of tlie kidnevs; faltv degeneration of the liver: 



