THE SPLENIC FEVER. 99 



pleural portions of the same membrane. The pericardial sac contained a little yellow 

 serum; and the heart, of normal size, was extensively ecchymosed around the base of 

 both ventricles. The right side contained a small quantity of partially clotted blood; 

 and the left ventricle, also containing a little dark blood, was the seat of extensive ecchy- 

 moses over nearly the whole of its inner aspect. The alimentary canal, from the mouth 

 to the third stomach, was in a normal state. The contents of the third stomach were soft 

 and moderate in quantity. The cardiac end of the fourth stomach was of a dark red color, 

 and its folds thickly studded with small yellowish elevations, having the appearance of 

 vesicles, but solid, and apparently consisting of opaque epithelial enlargements. The 

 pyloric end was of normal color and free from erosions or other signs of disease. The 

 small intestines, of a pinkish hue externally, were intensely reddened on their mucous 

 surface. There was general capillary congestion, and the ramified character of the red 

 tinge was most marked. One of Peyer s glands had an elevated and somewhat thick 

 ened appearance. The color was rather less deep than that of the adjacent membrane, 

 and on making an incision into it there was no evidence of deposit beneath it, or note 

 worthy change in structure. In the ca?cum a very marked ecchymosis surrounded the 

 ileo-colic opening, and several blood extravasations, well circumscribed and limited in 

 extent, existed in the colon and rectum. The liver and gall bladder weighed twenty-nine 

 pounds. The tissue of the liver was congested, and betokened active changes in the 

 shape of fatty degeneration. The spleen was dark, friable, and weighed eight pounds. 

 The two kidneys weighed four and one-quarter pounds, and were of a dark red color. 

 The bladder was much distended with bloody urine. Its mucous membrane was congested 

 at the fundus. The cranium was opened and its entire contents found abnormally vascu 

 lar. On removing the brain the dura mater was found studded with bright vermilion 

 blood spots, about the size of an ordinary pin s head. The medulla oblongata was healthy 

 The gray matter in the cerebellum was of a very decided reddish hue; but the consistence 

 of both white and gray matter appeared normal. The cerebrum showed very marked 

 puncta vasculosa on making horizontal sections of its hemispheres. 



Observation V, August 1, 1868. Red cow ; the property of S. F. Randolph, of Fa 

 rina. Died at 2 p. m., and examined at 5 p. m. Cadaveric rigidity marked. Respiratory 

 passages healthy. On opening the chest it was found that the right lung collapsed im 

 perfectly ; it was palish, and the seat of interlobular emphysema on its upper border, and 

 between the middle and inferior lobe. The left lung was somewhat ecchymosed. On the 

 surface of half a dozen lobules there was a dark, flea-bitten appearance, which corresponded 

 with considerable congestion of the lung tissue within. The structure floated on water, 

 and was certainly free from inflammatory deposit. The lungs weighed twelve pounds. 

 The heart, of normal size and consistence, was freely ecchymosed over its entire outer 

 surface. The right ventricle contained a little frothy blood, but was not blood-stained. 

 The left ventricle also contained a little dark fluid blood, and was free from ecchymoses. 

 On opening the left auricular appendix, it was found studded with punctiform petechia?. Of 

 the alimentary canal, all anterior to the fourth stomach, was healthy, but this organ was of 

 a deep red color over the mucous folds of the cardiac end. The antrum pylori was studded 

 over its entire surface with irregular erosions, exceeding twenty in number. None of 

 these had the granular surface or peculiar edges of true ulcers, but looked like abrasions, 

 the epithelium having been removed and the reddened mucous surface more or less dis- 



