24 



and parenchymatous degeneration of tlu- liver: multiple subserous and sub- 

 mucous hemorrhages : lobular pneumonia of the right lung. Plague pneu- 

 monia. 



Microscopic ej'amination. — No hyaline thrombi found in the glomerular 

 capillaries or in any of the other renal vessels. 



Case No. 27. Primary Uis'complicated Plague Pneumonia. 



(Necropsy Protocol No. 971. C. C, Chinese, male, 27 years old, from 67 Tetuan 

 Street. Santa Cruz. Ill six days. Died May 18. 1904. Postmortem examination 

 fourteen hours after death.) 



Anatomic diagnosis. — Parenchymatous degeneration of the kidneys and 

 liver: multiple subserous and submucous hemorrhages: pneumonia: acute 

 adhesive fibrinous pleurisy. Plague. 



Microscopic examination. — ^No hyaline thrombi are found in the glomer- 

 ular capillaries or in any of the other renal vessels. 



Case No. 28. Plague Pneumonia. 



(Necropsy Protocol No. 1116. J. W. H., male, American (Caucasian), 28 years 

 old, from Intramuros. Died February 20, 1905, after an illness of two days. 

 Postmortem examination fifteen hours after death.) 



Anatomic diagnosis. — Lobular pneumonia of the right lower lobe; great 

 congestion and oedema of both lungs ; acute parenchymatous nephritis ; fatty 

 degeneration of the liver. 



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

 laries or in any of the other renal vessels. 



GROUP V. PRIMARY PLAGUE PNEUMONIA WITH SECOND- 

 ARY PLAGUE SEPTICO-PYEMIA. 



Case No. 29. Primary Plague PNEUiroxiA with Secondary 

 Septic o-Pyemia. 



(Necropsy Protocol No. 962. F. S., Filipina, female, 30 years old, from 148 Anda 

 Street, Intramuros, Manila. Died May 7, 1904, at 5.30 p. m. Cause of death 

 unknown. Plague suspected. Postmortem examination made sixteen hours after 

 death.) 



Anatomic diagnosis. — Lobular pneumonic foci; congestion and beginning 

 difluse red hepatization of both lo\Ver lobes; general congestion of the lungs; 

 subpleural hemorrhages ; congestion and parenchymatous degeneration of 

 the liver and kidneys; submucous hemorrhages in the gastric and intestinal 

 mucosa ; hemorrhagic endometritis ; microcystic degeneration and congestion 

 of the left ovary. Plague pneumonia and septiCcTemia. 



Microscopic examination. — The most striking histologic change 

 in the kidneys are metastatic cmholi in the glomerular capillaries, 

 completely filling some of the loops of the tufts. However, such 



