63 



cells are swollen, hazy in outline, and without nucleus. The 

 interlobular septa contain acute inflammatory foci mostly composed 

 of small mononuclear cells with a few" neutrophilic and a still lesser 

 number of eosinophilic polynuclears. The pulmonary sections 

 are characterized by enormously engorged capillaries with some 

 blood extravasated into the alveoli. In some places an increase 

 of the interalveolar connective tissue is noticeable. Otherwise there 

 are no important changes. The microscopic examination of the 

 nodule found in the bladder shows it to have the structure of a 

 subacute inflammatory focus, composed of connective tissue fibers, 

 small mononuclears, and some polynuclear eosinophilics. Quite 

 a number of bacilli are seen in this area. They do not retain 

 Gram's stain; however, they appear smaller and more delicate than 

 plague bacillus, and they stain more uniformly than the latter. 



Case No. 7. Right Inguinal Bubo. 



[Necropsy Protocol No. 1000. July 5, 1904. Post-mortem examination, thirty- 

 nine hours after death, on the body of G. A., from No. 43 Valderana Street, 

 San Nicolas ; a Filipino boy about 10 years old.] 



Post-mortem rigidity has disappeared and putrefactive changes 

 are well advanced. The skin in the region of the abdomen shows 

 green discoloration, as does also that of the neck. The right 

 inguinal region exhibits a swelling about the size of a walnut, and 

 here the boundaries of enlarged glands can be made out by palpa- 

 tion. On section, the tissues are found to be oedematous and 

 slightly hemorrhagic. The glands are much enlarged and hemor- 

 rhagic ; but their capsules can still be distinguished and they are well 

 differentiated from the- surrounding tissue. The latter is likewise 

 hemorrhagic, but to a less degree. On the cut surface the glands of 

 the right inguinal region appear mottled; dark-red areas predomi- 

 nate and alternate with grayish-white ones. Considerable turbid and 

 hemorrhagic juice can be scraped ofl". The glands from Scarpa's tri- 

 angle, through the abdominal ring, up into the pelvis, are swollen, 

 softened, and hemorrhagic. The right iliac glands as well as the 

 right retroperitoneal ones are in the same condition. The altera- 

 tions found in the internal organs, not considering putrefactive 

 changes, are as follows: Heart: Two small subepicardial hemor- 

 rhages; myocardium, soft, flabby, and pinkish-brown. The lower 

 lobes of the lungs are bluish-purple and quite oedematous, showing 

 a few small subpleural hemorrhages. The spleen is enlarged to 

 twice the size of the adult organ; it is bluish-purple externally, 



