54 



incomplete areas of consolidation. The stomach shows engorge- 

 ment of the veins of the suhmucosa. The congestion is continued 

 into the small veins and capillaries of the mucosa. Blood is 

 found extravasated between the glands and upon the surface of the 

 latter. The cells lining the peptic glands show evidence of nutritive 

 disturbance. Here and there one sees karyokinetic figures, while 

 a number of the sustentacular central cells show two or more 

 nuclei. Plagiie bacilli are not seen in the mucosa. 



Case Xo. 4. Right Inguinal Bubo. 



[Necropsy Protocol No. 932. F. H., young male Filipino, from 20 Alma Street, 

 Tondo. Died March 20, 1904, at 2 o'clock p. m. Post-mortem examination 

 made March 21, at 10 o'clock a. m., twenty hours after death.] 



Body of an unusually strong young native, of 20 to 25 years of 

 age. The right heel shows a large, open, ulcerated surface about the 

 size of the palm of the hand, dark purplish in color, covered with 

 a dirty greenish libro-purulent secretion. The entire anterior 

 surface of both legs shows a scaly vesicular eruption. Post-mortem 

 lividity is well marked all over the body. The skin in general is 

 markedly cyanotic. Post-mortem rigidity has almost disappeared. 

 Putrefaction is well advanced. 



On opening the abdomen a great deal of ill-smelling gas escapes. 

 The superficial blood vessels discharge a moderate amount of dark, 

 fluid blood. The serous membranes are quite dull, their vessels are 

 markedly injected. Heart: The left ventricle is well contracted, 

 the right ventricle dilated. The visceral pericardium is strongly 

 injected and shows a few small hemorrhagic areas. The myocar- 

 dium is pinkish in color, and fairly firm in consistency. Valves 

 normal. Endocardium smooth. The large vessels are normal. 

 Lungs: Slightly adherent to the pleura costalis. Extensively 

 adherent to the upper surface of the diaphragm. The upper lobes 

 are pinkish in color and contain a good deal of air; the lower 

 lobes are highly congested and of a dark purplish color; they con- 

 tain but little air, are very oedematous and full of dark fluid blood. 

 The mucous membrane of the bronchi and of the trachea is swollen 

 and congested ; the air tubes contain a moderate amount of frothy, 

 viscid mucus. Larynx likewise congested. Spleen: Normal in 

 size; the capsule is smooth and slightly wrinkled and the outer 

 surface is dark purple in color. The cut surface is dark bro^-n, the 

 pulp is soft. A good deal of dark-brown juice can be scraped off 

 the surface. The Malpighian bodies are not distinctly visible. 



