1896.] MICROSCOPICAL JOURNAL. 435 



swollen four days before death, and the pneumonia whic h 

 had been present had become more marked. The autopsy 

 showed broncho-pneumonia; and lesions of the kidneys 

 and other org^ans. The cultures from the lung's showed 

 numerous streptococci, as well as Loeffler bacilli. The 

 cultures from the blood of the various org-ans showed pure 

 growths of streptococci. Cultures from the blood of the 

 various org-ans showed pure growths of streptococci. 

 When these streptococci were injected into a rabbit, they 

 were found to be of moderate virulence. His experience 

 had been that after the streptococci were passed throug-h 

 a few rabbits they increased somewhat in virulence but 

 then the virulence remained stationary. 



The second case was that of a child of one year, with 

 larvng'eal diphtheria and hig-h temperature. It was g-iven 

 antitoxin. Twent3^-four hours later it was intubated, but 

 after three and one half hours the tube was removed. 

 Thirty-six hours after admission the temperature was 106 

 degrees F., and remained high until death. The child 

 remained the larger part of the time in a position of opis- 

 thotonos. The lung showed a late stag-e of broncho-pneu- 

 monia. Cultures from the lung's and other organs g-ave 

 streptococci. 



The third child had been sick only two days, but the 

 chest was full of rales. There was no membrane in the 

 throat; some diphtheria bacilli were found in the throat. 

 The temperature at the end of forty-eig-ht hours reached 

 107 degrees F., and the child died. The autopsy showed 

 both lungs consolidated. Cultures from the lungs and 

 from the blood showed the pneumococcus, and a few col- 

 onies of diphtheria bacilli were found in the cultures from 

 the lungs. 



Cultures from the blood of those dying- early in diph- 

 theria, without high temperature, were usually sterile; 

 when there was a high temperature,' sepitceemia was gen- 

 erally found. When the lung-s showed lesions, diphtheria 

 bacilli were always present in the consolidated areas. 

 Streptococci were also found. The diphtheria bacilli were 

 found in fourteen cases. It had been sugg-ested by Dr. H. 



