THE PHILIPPINE 



Journal of Science 



B. Medical Sciences 



Vol. IY OCTOBEE, 1909 No. 5 



AN UNUSUAL CASE OF AMOEBIC DYSENTERY.' 



By Habry T. Marshall, 

 {Professor of Pathology, University of Virgiiiia.) 



In descriptions of amoebic dj'sentery emphasis is always laid upon the 

 occurrence of irregular, undermined ulcers as the most characteristic 

 change in the large intestine. This form of ulceration is the only one- 

 exhibited in the two pathological museums which I have had an oppor- 

 tunity to visit. Furthermore, it is not common to meet with a case of 

 amoebic dysentery, running an acutely fatal course, accompanied by 

 profuse haemorrhage. Such a course, together with unusually acute lesions 

 of the large intestine, distinguished the following case which I examined 

 while connected with the Biological Laboratory of the Bureau of Science 

 in Manila. 



M., a native Filipino, a patient in the Civil Hospital of Manihi, bad 

 a severe and acute type of amoebic dysentery with abundant hemorrhages 

 from the bowels. He died, apparently from loss of blood, and came to 

 autopsy December 28, 1906. 



AUTOPSY NOTES. 



Body of an adult male Filipino about 25 years old, sparely built; moderately 

 well nourished; mucous membranes extremely pale; a few eccliymoses in the 

 skin of arms and legs. 



Subcutaneous fat. — Moderately abundant, very yellow. 



Peritoneal cavity. — ^Clear, no adhesions; mesenteric glands large, pale, soft; on 

 section pale, gray; structure visible. 



* Read before the American Association of Pathologists and Bacteriologists, 

 Boston, April 9, 1909. 



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