9() 



tubercle bacilli be demonstrated. In the lungs the vessels are 

 dilated and the alveoli are mostly open, some of them containing 

 desquamated epithelia, others fairly numerous red blood corpuscles, 

 and still others a hyaline or finely granular material, evidently the 

 product of an cedematous fluid, coagulated by the fixing and harden- 

 ing liquid. No plague bacilli are found in the pulmonary sections. 

 The gastric vessels are dilated and greatly engorged. Much blood 

 extravasation has taken place from the intergiandular capillaries. 

 The petechia and ecchymoses are in the outermost layer of the 

 mucosa and often separated from the surface only by a thin remnant 

 of tissue. The other zone of the mucosa towards the free surface 

 is necrotic and its cells are swollen and have lost their nuclei. 

 Numerous plasma mast cells are seen in the submucosa. Plague 

 bacilli do not appear in the areas of blood extra\'«sation, nor any- 

 where else in the stomach wall. 



Case No. 14. Right Cervical Bubo with Secondary Plague 



Septicopyemia. 



[Necropsy Protocol No. 889. E. J., Filipino, male. 63 years old, from No. 142 

 Caballeros Street, San Nicolas District. Died February 18, 1904, at 1 o'clock 

 p. m. Sick five days ; cause of death unknown. Post-mortem examination made 

 February 19 at 8.45 o'clock a. m., about twenty hours after death.] 



The body of a native well advanced in 3^ears; hair gray. Post- 

 mortem rigidity still fairly well marked, but beginning to disap- 

 pear. The post-mortem lividity is pronounced on dependent parts 

 and spreads toward the sides and interior surfaces of the body. 

 The integument shows no injuries or sores. There are no buboes 

 externally visible in the inguinal, cervical, or any other region. 

 The abdomen is slightly distended. On section some dark, fluid 

 blood escapes from the severed veins. The peritoneal and pleural 

 cavities contain a small amount of serous fluid, the serous mem- 

 branes are somewhat dull and their vessels markedly injected. 

 The pericardium contains a small amount of clear fluid. The 

 heart muscle is soft and flabby; the left ventricle is moderately 

 contracted, and the right one dilated. The external surface shows 

 a number of small irregularly distributed subepicardial petechiae. 

 The myocardium is pinkish-yellow. The valves are nonnal. The 

 arch of the aorta is atheromatous. Lungs : Both apices are adher- 

 ent, the adhesions being firm and fibrous. Externally the lungs are 

 dark purplish-blue in color; on section they are dark purplish- 

 brown. They are rich in dark, fluid blood, but do not contain much 



