69 



nuclears are fairly numerous. The interlobular inflammatory foci 

 also contain the same type of eosinophilic masses described above 

 as occurring in the much enlarged spleen. The intralobular capil- 

 laries are quite distended and show an increased proportion of 

 polynuclear leucocytes. Many of the parenchyma cells are in an 

 advanced stage of fatty infiltration and degeneration. Few plague 

 bacilli are seen in the liver sections. Kidneys : The capsule is 

 somewhat thickened and a few subcapsular inflammatory foci are 

 seen. They are composed of small mononuclear and embryonal 

 connective tissue cells. The epithelia of the uriniferous tubules 

 are in a condition of advanced cloudly swelling or show the vacuola- 

 tion of fatty degeneration. The lumina of the tubules contain 

 desquamated cells, mere cell shadows, detritus, and granular 

 material. A few hyaline casts are also occasionally seen staining 

 with eosin but not with the fibrin dye. Some of the small veins 

 contain fibrin; none, however, is found in the glomerular capil- 

 laries. The pulmonary tissue shows engorged interalveolar capil- 

 laries and in some places a broadening of the interalveolar septa. 

 Otherwise there are no marked changes. A very few plague bacilli 

 are found in some of the sections. 



Case No. 9. Right Ceevical Bubo. 



[Necropsy Protocol No. 928. C. S., Filipina, age 5 years, from 170 Estero San 

 Nicolas. Sick five or six days ; three days in San Lazaro Hospital. Died 

 March 18, 1904, at 11 o'clock p. m. Post-mortem examination three hours 

 after death.] 



The body of a little girl well nourished. Post-mortem rigidity 

 and lividity marked, the latter extending well over the thorax and 

 neck. The integument in general is quite cyanotic. The cervical 

 glands along the right side are swollen, so that the whole mass 

 has the size of a small apple. This region shows a very intense 

 cyanotic condition. The tissues are very oedematous, imparting a 

 doughy, almost fiuctuating sensation to the touch. The swelling 

 shades off gradually into the surrounding areas and in fact extends 

 over the whole of the right side of the face. The eyelids of the 

 right orbit are somewhat swollen and oedematous and completely 

 closed. On incising the body, a small amount of fluid blood escapes 

 from the veins. The stomach and the intestines are much distended 

 with gas. The gastric veins are much congested, the injection being 

 particularly noticeable in those along the larger curvature of the 

 stomach. The intestinal serosa likewise shows injection of its 



