36G m'lat'ohlin. 



Ca.sc t). A. ('. — Ai^r. :i vciirs. ;\lale. Diajjiiosis, enteritis anil mciiiiijiitis. 



Presented no symptoms other than (liarvlid-a until the hist twenty-four hours. 

 Duration of illness, ten days. On the last day, convulsions, eouia and death. 

 History and diajiuosis by Dr. P.. private physieian. Neerojisy unsatistactory 

 because of post-mortem deeom])osition. Examiuation of intestinal cimt 'Uts jiosi- 

 tive for eholera vibrios. 



Case 7. — A. V. — Age, 4 years. Female. Diagnosis. eluDiiie enteritis. Dura- 

 tion of illness, six months. No symptoms of cliolera. Diagnosis and history by 

 Dr. H., municipal physieian. ' Specimen taken from intestine at ])ost-mortein 

 examination positive for cholera vibrios. 



Case <S'. — ('. F. — Age, 5 years. Female. Diagnosis, acute dysentei'y. JSloody 

 stools. Duration of illness, eight days. No symptoms of cliolera. History and 

 diagnosis by Dr. Q., private physician. Specimen taken from intestinal contents 

 positive for cholera vibrios. 



Case !).--f>. A. — Age, 2 years. Female. Acute meningitis. History and 

 diagnosis by Dr. IT., private physician. Taken sick, Se])tember 15, with fever and 

 nausea. Vomited a worm. Stool contained other worms. September Hi had 

 two liquid stools. September 17, no stools, very restle.ss, side to side movements 

 of the head. September 18 and 19 the same condition with some delirium. 

 September 20, fever, 39.5° C, general convulsions, photophobia. Purgative and 

 ice cap prescribed. One large stool. Condition unimpi'oved. Died at 11 ]>. m. 

 Necroj)sy twenty-seven hours after death by Doctor Andre\\s. 



Body well lumrished, rigor mortis slight, nails blue, eyes sunken and lids half 

 closed. 



Subcutaneous tissues dry, muscles, dark. 

 Peritoneum dry, smooth, no fluid in cavity. 



Pericardial sac contains few drops of fluid. Right side of heart soft, left. firm. 

 Lungs. — Organs crepitate throughout, light pinkish gray in color. Cut section, 

 dark cherry surface from which dark tarry blood can be expressed. 



Kidneys soft, light plum colored, capsule strips readily, striations seen clearly. 

 Cortex a dull gray color. 



Intestines congested in some parts, the congestion being more marked in lower 

 part of ileum. Contents semifluid, 3'ellow color. INIucosa intact. Intestines dis- 

 tended with gas. 



Urinary bladder empty. 



Brain. — Meninges congested, dry, brain substance firm, vessels in brain sub- 

 stance also congested. No fluid in ventricles. No evidence of inflammation. 



The intestinal contents were examined bacteriologically by the Biological 

 Laboratory, Bureau of "Science, and a diagnosis of cholera made. 



Case 10.— M. S.— Age, 2 years 4 months. Female. Said to have had slight 

 fever September 9. September 19, had watery stools of a feculent character. 

 Family stated that diarrhoea continued until death. Dr. R., private physician, 

 furnished the following history: Called on September 20 to what he considered 

 case of acute meningitis; he prescribed calomel and rhubarb and castor oil. He 

 noted high fever, 39° C, strabismus, rigidity of neck, restlessness, and evidences 

 of headache. The urinary secretion was present. 



\ecropsy fourteen hours after death by Doctor Andrews. 



Body well nourished, rigor mortis absent, nails bhie, skin shrunken, eyes half 

 open. 



Subcutaneous tissues dry. 



I'eritoneal cavity slightly moist, contains no fluid. 



Pericardial sac contains few drops of fluid. Right side of heart distended 

 with blood, left side firm. 



