UNUSUAL CASE OF AMOEBIC DYSENTERY. 307 



pimilar condition is briefly mentioned by Osier.® To those of us who 

 saw the tissue from this case in Manila, it appeared unique but Doctor 

 Strong believed that he had seen a similar condition before, although he 

 does not allude to it in his article in Osier's System.'^ Jiirgens ^ does 

 not speak of finding this lesion in his experimental cats, neither is it 

 mentioned by Euge in Mense's Handbuch, by Manson or by Scheude. 

 The condition in this case is certainly different from ulceration of the 

 solitary follicles described by Jiirgens and others, and in none of my 

 sections was there evidence of special changes in the follicles. 



A word as to the scar in the liver. There was no evidence of a chronic 

 form of dysentery, neither was there evidence of peritoneal adhesions 

 nor other evidence of previous peritonitis, yet we found the sinus leading 

 from the puckered scar in the center of the liver to the surface. It would 

 lead too far to speculate upon the possible relation of this scar to a 

 previous amoebic infection, or upon the possibility of an abscess having 

 ruptured into the peritoneal cavity without having led to the formation 

 of adhesions. 



° William Osier : The Principles and Practice of Medicine. New York and 

 London. 6th ed., (1906), 2-7. 



'Osier's system of Modern Medicine (1907), 1, 488-524. 

 ^Zrschr. f. exp. Path. u. Tlier. (1907), 4, 769-816. 



