103 



examination nothing worthy of note was seen, except enlargement 

 of the glands in the inguinal region and Scarpa's triangle on both 

 sides, as well as a chronic skin affection of both legs. The position 

 of the body had been changed since death. The boy had been 

 emploj'ed for general purposes about the place for from four to 

 five months, during which time he appeared to be in good health, 

 except that for some weeks before his death his face was rather 

 pale, and he did not sleep very well. He spent the evening of 

 February 26 playing in the street with other boys until 11 o'clock, 

 when he went to bed. About 13 o'clock he awoke, complaining of 

 pain in the chest and difficulty in breathing. His condition soon 

 became alarming, and a native physician was sent for, who was 

 unable to do anything for him. At 2 o'clock he was dead. 

 (History furnished by district medical inspector, Dr. Terry, of 

 the Board of Health.)^ 



Case Xo. 16. Ambulatoey Plague. TEEiiiNATiifG by Embolism of the 



PxjLMONABY Artery. 



[Necropsy Protocol No. 901.] 



Post-mortem examination made on February 27, 1904, at 3 

 o'clock p. m. The body of a Filipino bo}', about 17 to 18 years of 

 age and well developed. Post-mortem rigidity strongly marked; 

 post-mortem lividity prominent on dependent parts and extending 

 over the sides of the trunk and neck as well as over the anterior 

 surface of the latter. A greenish-brown, foamy, ill-smelling fluid 

 oozes from the anterior nares. The anterior surface of the lower 

 extremities, from the ankles upward to about midway between the 

 knees and Pupart's ligaments, is covered with a vesiculo-pustular 

 eruption. The lowermost portions of this eruption consists of 

 shallow ulcerations covered with brownish, bloody scabs. The 

 skin lesions higher upon the thigh are still purely vesicular and 

 the collopsed vesicles are covered with epidermal scales. The 

 chain of l}Tnph nodes below Pupart's ligaments on both sides is 

 swollen, the most marked swelling being found in the lowermost 

 glands on each side. The swollen region is soft and doughy. How- 

 ever, no fluctuations are noticeable. On incision of the skin the 

 superficial veins discharge a rather small amount of dark, fluid 

 blood. The pericardium is smooth and normal, and contains a small 

 amount of clear, straw-colored fluid. The visceral layer of the 

 pericardium shows dilated and congested veins. On the posterior 



