115 



The suprarenals are swollen, soft, and dark brownish-yellow in 

 color. The liver is large, of a somewhat increased consistency, and 

 elastic. Its capsule is shining and transparent. The general color 

 is pinkish-purple, but the areas of this hue alternate with places 

 of a grayish-yellowish-pinkish color. On section the organ is found 

 to be much congested. The hepatic veins discharge much dark, 

 fluid blood. The surface is of a deep yellowish-brown and is 

 quite dull. The acini are enlarged and the boundaries are not 

 very distinct. Here and there a grayish-white point is seen on 

 the cut surface. The gall bladder is distended, its walls cedematous, 

 and its mucosa swollen. The bile is viscid and dark greenish-yellow. 

 The ducts are open. The serosa stomach and the intestines is much 

 injected and rather dull. The mucosa of the stomach and the 

 duodenum shows numerous small, hemorrhagic areas. The pan- 

 creas is normal. The uterus is markedly enlarged and rather soft. 

 Its mucosa is softened, swollen, and hemorrhagic. The cavit}'', 

 however, contains no free blood. The serosa of the uterus as well 

 as of the appendages is much congested. The uterine muscularis 

 is of good, firm consistency. The left ovary is enlarged to the size 

 of a large walnut, nearly perfectly spherical, microcystic, and of 

 a deep black-bluish-purple color. The right one is small, firm, and 

 less congested. ISTo fresh corpus luteum is present. The inguinal 

 and cervical glands are slightly enlarged and moderately congested 

 but not softened. The internal h'mphatic glands, such as the 

 mesenteric, the retroperitoneal, the iliac, and the mediastinal, are 

 all very moderately enlarged and markedly congested, but neither 

 markedly softened nor hemorrhagic. 



Smears prepared from the different organs show the following: 

 Lungs: Very many typical plague bacilli, also a number of very 

 small diplococci. Spleen: A moderate number of plague bacilli. 

 Liver : Quite a few bacilli. Heart's blood : Quite a few plague 

 bacilli and some small cocci. Kidneys : Numerous plague bacilli. 



Anatomical diagnosis. — Lobular pneumonic foci; congestion and 

 beginning diffuse red hepatization of both lower lobes ; general con- 

 gestion of the lungs; subpleural hemorrhages; congestion and 

 parenchATiiatous degeneration of the liver and kidneys; submucous 

 hemorrhages in the gastric and intestinal mucosa; hemorrhagic 

 endometritis; microcystic degeneration and congestion of the left 

 ovary. Plague pneumonia and septicaemia. 



