46 



In the liver we find small interlobular inflammatory foci, com- 

 posed of small, round cells. The parenchyma cells are finely 

 vacuolated or coarsely granular; some of the nuclei are absent 

 or do not stain. Here and there a small area is found in which 

 all cells are degenerated (areas of focal necrosis). A few plague 

 bacilli are here and there seen in the capillaries, but none in the 

 interlobular inflammatory foci. 



The consolidated areas of the lower lobes of the lungs show an 

 enormous dilatation and engorgement of the vessels and alveoli, 

 completely filled with extravasated blood and with desquamated 

 alveolar epithelial cells. The latter contain much dark granular 

 pigmentary matter. Here and there one sees in the alveoli, cocci, 

 a slender bacillus, and possibly a few plague bacilli. Whether 

 the latter are really plague bacilli is somewhat doubtful ; certainly, 

 if present at all, they are very scantily represented. 



Case No. 2. Left Inguinal Bubo. 



[Necropsy Protocol No. 989. T. C, a male Chinese, from Ilang-Ilang Street, 

 San Nicolas, 29 years of age. Ill two days. Died June 20, 1904. Post- 

 mortem examination nine hours after death.] 



The body of a slender, rather jjoorly nourished Chinese. Post- 

 mortem rigidity is still well-marked. Post-mortem lividity is 

 extensive. The anterior abdominal wall presents a mottling of 

 greenish discoloration. The tibial region of the left leg shows two 

 shallow, almost healed ulcers. Both the inguinal regions are 

 swollen, particularly the left one. The swelling shades off into 

 the surrounding tissues. On the right side no individual glands 

 can be distinguished, because the whole region is much infiltrated 

 and edematous. On making an incision into this region, a consider- 

 able amount of slightly blood-tinged, serous liquid escapes and the 

 entire tissues are found to be diffusely infiltrated with blood. 

 The individual glands can not be distinguished, as they have become 

 fused into one irregular hemorrhagic mass; nor are the capsules, 

 the cortices, or the medullas of the individual glands distinguish- 

 able. No suppurative changes are observed. On the right side the 

 glands are swollen, softened, and highly congested. However, the 

 capsules are well preserved, and the hemorrhagic condition does 

 not extend beyond the glands proper. The other superficial glands 

 are not palpable. On opening the body cavities, a moderate amount 

 of dark, fluid blood escapes from the veins. 



The abdominal cavity contains an increased amount of serous. 



