22 



Van Giesoii. Mallory, etc., clearly show that a hyaline degeneration 

 of the vessel walls does not exist, but is one simulated by the faulty 

 method of fixation. 



A somewhat superficial examination of the placenta in this case 

 failed to show any invasion by the plague bacillus. This result is 

 in accord with the observation of the German Plague Commission 

 on several foeti from females dead from plague. 



Case No. 21. Left Subsiextal Bubo. 



(Necropsy Protocol No. 1027. F. C, a Filipina, 14 years old, from 195 Plaza Leon 



XIII, Tondo. Died after a short illness of unknown duration on September 7, 



1904, at 7.10 o'clock p. m. Postmortem examination made on September 8 at 

 3 o'clock p. m.) 



Anatomic diagnosis. — Congestion and parenchymatous degeneration of the 

 kidneys; congestion and oedema of the lungs; one necrotic focus of the liver 

 with congestion and fatty degeneration ; miiltiple subserous and submucous 

 hemorrhages ; left submental hemorrhagic bubo. Bubonic plague and plague 

 septico-pyemia. 



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

 laries or in any of the other renal vessels. 



Case No. 22. Right Ceevicae Bubo with SECo?fDARY Plague 

 Septicopyemia. 



(Necropsy Protocol No. 889. E. J., a male Filipino, 63 years old, from 142 Caba- 

 lleros Street, San Nicolas. Died February 18, 1904, at 1 o'clock p. m. Ill five 

 days ; cause of death unknown. Postmortem examination made February 19 at 

 8.45 o'clock a. m., about twenty hours after death.) 



Anatomic diagnosis. — Congestion and oedema of the lungs ; congestion and 

 parenchymatous degeneration of the kidneys; subserous and submucous 

 hemorrhages; right cervical bubo. Bubonic plague and plague septico- 

 pyemia. 



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

 laries or in any of the other renal vessels. 



Case No. 23. Right Axillary Bubo. 



(Necropsy Protocol No. 973. F. A., male Filipino, age 28 years, from 661 Calle 

 Bilibid, Santa Cruz. Died May 9, 1904, at 11 o'clock p. m. Postmortem exami- 

 nation made fifteen hours after death.) 



Anatomic diagnosis. — Congestion and oedema of the lungs ; parenchymatous 

 degeneration of the kidneys ; right axillary hemorrhagic bubo ; general 

 swelling, hypertrophy, and congestion of the lymph glands. Bubonic plague 

 and plague septico-pyemia. 



Microscopic examination. — In the kidneys all the vessels are much 

 dilated and engorged, particularly the glomerular capillaries. Here 

 and there in the glomeruli an incomplete fibrin thrombosis is met 



