59 



and surround, as it were, each individual cell. Spleen : The bound- 

 aries of some of the Malpighian corpuscles are distinct and sharply 

 cut; others show an indistinct limitation, because the small mono- 

 nuclear cells forming the follicles are densely infiltrating the 

 neighboring tissues. The pulp spaces are quite indistinct, because 

 they are crowed with cells. Most of these are leucocytes, but in 

 some places red blood corpuscles predominate. All through the 

 pulp spaces of the splenic tissue a fibrin network can be seen. No 

 fibrin, however, is found in the vessels and the network has, of 

 course, no intravascular connection. Here and there one can see 

 the fibrin threads take their origin from leucocytes. Plague bacilli 

 are present in large numbers. Kidneys: The glomeruli do not 

 show any marked changes, but the capillaries of the tufts are 

 greatly engorged with blood. In general all renal vessels, par- 

 ticularly the capillaries and the smaller veins, are much engorged. 

 In a few places, near the capsule, smalls areas of blood extravasation 

 are encountered; however, none are found at a distance from the 

 surface. The epithelium of the convoluted tubules shows consider- 

 able cloudy swelling and also more profound degeneration, with 

 complete loss of nuclei. The tubular lumina are generally filled 

 with more or less granular detritus. Few, and not greatly advanced, 

 changes are seen in the straight tubules. No bacilli are seen in 

 sections from the kidneys. All parenchyma cells of the liver are 

 in an advanced stage of fatty degeneration and their nuclei are 

 either poorly or not at all stained. Aside from this degeneration 

 the hepatic tissue shows no marked changes. Sections from the 

 lungs present greatly engorged capillaries; the alveoli are partly 

 filled with desquamated epithelia, red blood corpuscles, and a 

 granular detritus. Plague bacilli are not found. In the gastric 

 mucosa the intergiandular capillaries are much enlarged and free 

 blood is found between the glands up to the very uppermost strata. 

 However, no blood is seen on the free surface of the mucosa. 



Case No. 6. Right Inguinal Bubo. 



[Necropsy Protocol No. 998. Post-mortem examination performed on July 3, 

 1904, twelve to eighteen hours after death, upon the body of V. D., from 17 

 Azcarraga Street, Tondo ; a male Filipino 17 years old.] 



Post-mortem rigidity is not well marked;. it has evidently begun 

 to disappear. Post-mortem lividity is noticeable over dependent 

 parts of the body. The integument, particularly around the chest, 

 the neck, and the face is quite cyanotic. The right inguinal glands. 



