DIPHTHERIA. 4°l 



found in 24 cases, alone in 12 and together with the 

 streptococcus in 12 ; the streptococcus occurred in 27 

 cases, alone in 14, with the Klebs-Loffler bacillus in 12, 

 and with Staphylococcus pyogenes aureus in 1. The 

 Staphylococcus pyogenes aureus occurred in 4 cases, 

 alone in 3 and associated with the streptococcus in 1. 

 The pueumococcus occurred alone in 1 case. 



In the spleen the Klebs-Loffler bacillus occurred eigh- 

 teen times, fifteen times alone and three times associated 

 with the streptococcus. The streptococcus occurred in 

 24 cases, alone in 21, associated with the Klebs-Loffler 

 bacillus twice, and with the Staphylococcus pyogenes 

 aureus once. The Staphylococcus pyogenes aureus 

 occurred twice, once alone and once with the strepto- 

 coccus. The pneumococcus occurred twice alone. 



In the kidney the Klebs-Loffler bacillus occurred in 23 

 cases, in 15 alone, in 5 associated with the streptococcus, 

 and in 2 with the Staphylococcus pyogenes aureus. The 

 streptococcus occurred in 26 cases, in 19 of which it 

 was the only organism present. The Staphylococcus 

 pyogenes aureus occurred in 8 cases, in 4 of which it 

 was in pure culture. The pneumococcus occurred four 

 times, three times in pure culture and once with the 

 Klebs-Loffler bacillus. 



In the 46 cases of complicated diphtheria, the hearfs 

 blood showed pure cultures of the streptococcus nine 

 times and the streptococcus associated with the Klebs- 

 Loffler bacillus once. The diphtheria bacillus occurred 

 alone once. 



In the liver in 10 cases the Streptococcus occurred 

 alone, in 7 cases associated with the Klebs-Loffler bacillus 

 and in 3 cases with the Staphylococcus pyogenes aureus. 

 The diphtheria bacillus occurred in pure culture in 5 

 cases. 



The spleen contained streptococci only thirteen times 

 and mixed with the diphtheria bacillus twice. The 

 diphtheria bacillus was found in pure culture in 5 cases. 



The kidney contained pure cultures of streptococci in 



26 



