14 



Microscopic examination. — No lij-aline tlironibi in tlie glomerular capil- 

 laries or in any of the other renal vessels. 



Case No. 10. Left Inguinal and Femoral Hemorrhagic Bubo. 



(Necropsy Protocol No. 1115. O. K., male Chinese, 38 years old, from 84 Calle 

 Nueva, Binondo. Died February 20, 1905, after an illness of a few days. Post- 

 mortem e.xamination eighteen hours after death.) 



Anatomic diagnosis. — Left inguinal and femoral hemorrhagic bubo; con- 

 gestion of the lungs ; acute parenchymatous nephritis ; softening and 

 enlargement of the spleen ; bubonic plague. 



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

 laries or in any of the other renal vessels. 



Case No. 11. Right Hemorrhagic Femoral Buco. 



(Necropsy Protocol No. 1143. W. C, male Filipino, 53 years old, from No. 89 

 Lavezares Street, San Nicolas. Died March 18 at 1 o'clock p. m. Postmortem 

 e.xamination performed March 20, 1905, at 10 o'clock p. m. 



Anatomic diagnosis. — Right hemorrhagic femoral bubo; hemorrhagic 

 inflammation of the right iliac glands ; congestion and oedema of the lungs : 

 acute parenchymatous nephritis; enlargement of the spleen; bubonic plague. 



Microscopic examination. — The thrombosis in the glomerular and 

 other small renal vessels is of a rather moderate degree. A majority 

 of the glomeruli (perhaps two-thirds in the sections examined) are 

 free from thrombi. In these free Malpighian tufts we generally see 

 a considerable number of dilated and engorged capillaries. Xo com- 

 pletely thrombosed glomerulus is found, but in those in which 

 obliteration has occurred it is generally of a rather moderate, though 

 occasionally of greater, extent. The thrombi are usually not very 

 dense, but rather loose and incomplete, being composed of bands and 

 strands and sometimes of reticula of fibrin. However, quite solid, 

 dense, and uniformly homogeneous thrombi are likewise encoun- 

 tered, though not very frequently. In some of the glomerular and 

 interlobular capillaries the incomplete obliteration depends merely 

 upon the presence of a fine, wavy or angular filament of fibrin. 

 However, the thrombosis, though of moderate degree, is not confined 

 to the cortex ; and small, more or less completely obliterated vessels 

 are seen in the medulla. In the latter we see several longitudinally 

 cut, dilated, and greatly engorged small veins, in which a consider- 

 able number of leucocytes and a few filaments of fibrin arranged 

 longitudinally are present. ]\Iore solid and more or less completely 

 obliterating thromln are likewise seen in the medullary vessels. 

 Morphological changes in the icalls of either intra- or extra- 

 glomerular ressels are not demoniitrahle. Plague bacilli are not 



