50 



ticularly those in the central part of the lobules. Here and there 

 a small, interlobular, inflammatory fociis, composed of mononu- 

 clears, is found. The interlobular fibrous connective tissue is 

 somewhat increased; otherwise marked changes are not seen. 



In the lungs the capillaries and the veins are much engorged. 

 The alveolar spaces contain much granular detritus, many desqua- 

 mated endothelial cells and considerable numbers of large bacilli 

 taking Gram's stain. These organisms are also found in large 

 numbers in the liver and the kidneys. ISTo plague bacilli are 

 encountered in the sections. 



Case No. 3. Left Ingxhnal Bubo. 



[Necropsy Protocol No. 940. S. Y. S., male Chinese, 25 years old, from 70 

 Santo Crlsto, Binondo. Ill six days. Died April 14, 1904, at 5.30 o'clock 

 a. m. Post-mortem examination six hours after death.] 



The body of a male Chinese, about 35 to 45^ years old. Well- 

 developed muscles and skeleton. Eigor mortis well marked. Post- 

 mortem lividity of a dark port-wine red color is present over the 

 dependent parts of the body, also around the neck, on the sides 

 of the trunk, and over the anterior tibial regions. The integument 

 in general is quite cyanotic. On the left leg over the sharp edges 

 of the tibia, midway between the ankle and the knee, are seen 

 three small oval ulcerations; they have the size of a split pea and 

 are covered with a dry, dark brown crust. Below these shallow 

 ulcers are about a dozen depressed, healed cicatrices of the same 

 size as the ulcerations. The lymph glands below the left ligament 

 of Poupart are swollen and the skin here is covered with tenacious 

 brown ointment. After its removal the integument is foimd 

 unbroken, but puffed up and oedematous. The round swelling 

 which protrudes over the surrounding skin has the size of a walnut, 

 feels doughy, and is rather firm ; but the individual glands are not 

 distinctly palpable. On section of the skin there escapes first a 

 small amount of yellowish, watery fluid, which becomes bloody as 

 soon as the subcutaneous adipose tissue is cut into. The glands 

 of this region have become fused together, and the individual 

 components of the group are indistinguishable. The whole tissue 

 shows an intense hemorrhagic infiltration and well-marked soften- 

 ing. A good deal of dark, bloody fluid can be scraped off from the 

 cut surface and it can be seen that the hemorrhagic infiltration 



^The deceased was evidently much older than the figure given officially 

 in the death certificate. 



