460 The Philippine Journal of Science 1923 



men, and marked hyperpyrexia, the temperature often reaching 

 40.5° C. 



Clinical diagnosis. — Tuberculosis, generalized; meningitis, 

 tuberculous; peritonitis, tuberculous. 



Autopsy. — Autopsy was performed eighteen hours after death. 

 Body was that of a well-developed but poorly nourished female 

 Filipino child, 3 years old, 88 centimeters in length, and 9.1 kilo- 

 grams in weight. The eyeballs were moderately protruding, 

 the pupils equal and not dilated. The lymph glands of the neck 

 and axillary regions were slighty palpable. The abdominal 

 cavity contained about 50 cubic centimeters of clear straw-colored 

 fluid. The serosa of the intestine in the last portion of the 

 ileum showed a few minute tuberculous nodules. The mesenteric 

 lymph nodes were considerably enlarged, and many of them 

 contained caseous material. The lungs were moderately con- 

 gested; on section they showed a few minute tubercles at the 

 level of the apices. The peribronchial glands were slightly en- 

 larged, and some of them contained calcareous material. The 

 spleen was normal except for the presence of a few very minute 

 tubercles visible on the surface of the organ. 



The liver showed evidence of marked fatty degeneration. 

 Ascarides were not found either in the gall bladder or in the 

 bile ducts. The stomach was apparently normal. The mucosa 

 of the last portion of the ileum showed irregular tuberculous 

 ulcers. These were found in places just opposite the tuberculous 

 nodules found in the serosa. No adult ascaris was found in 

 any part of the alimentary tract. On opening the skull, the 

 cerebrospinal fluid was found increased in amount and some- 

 what turbid in appearance. The ventricles of the brain were 

 dilated and filled with turbid fluid. Laterally on the brain sur- 

 face, and at the level of the base, especially along the course of 

 the large blood vessels, a few conglomerations of minute grayish 

 tuberculous nodules were encountered. The right hemisphere 

 of the cerebellum was almost completely involved by a yellowish 

 opaque tubercular mass; this was firm in consistency and on 

 section it showed a whitish central portion apparently composed 

 of fibrous tissue. The periphery was more yellowish in color. 

 The cut surface of this mass showed also some minute gray 

 nodules scattered through the substance of the tumor. 



Anatomical diagnosis.— Tuberculoma cf the cerebellum ; tuber- 

 culous meningitis; tuberculous enteritis, ulcerative; fatty degen- 

 eration of the liver. 



