368 m-'laughlin. 



Body slightly emaciated, rigor mortis absent. Nails Ijhie, skin shriveled; 

 expression drawn; eyes half open and simken. 



Subcutaneous tissues fairly dry. 



Peritoneum moist, fluid absent. 



Pericardial sac contains several drops of fluid. Heart is very soft. 



Lungs voluminous, crepitant. Cut section shows congestion, dark tarry blood 

 can be expressed. 



Kidneys soft, grayish red in color, capsule strips readily, foetal lobulations 

 absent. Cut section shows grayish red surface in which the medullary portion 

 and the cortex show clearly with the striations partially oblitei-ated. 



Intestines slightly congested, filled with watery material mixed with mucus and 

 dark ftecal material. 



Urinary bladder empty. 



Examination of intestinal contents reported positive for cholera by Biological 

 Laboratory, Bureau of Science. 



Case 13. — E. M. — Age, 1 year. Female. History and diagnosis of ehionic 

 enteritis by Dr. G., municipal physician. Indefinite history of malnutrition and 

 digestive disturbance, fever, constipation and diarrhoea alternating. Presented 

 picture of marasmus. On September 21, removed to 192 Calle Felix Huertiis 

 where a case of cholera had occurred the previous day. No symptoms of cholera 

 present ; patient died four days later { September 25 ) . 



Necrojisy by Doctor Andiews. 



Body greatly emaciated, rigor mortis al)sent. nails white, skin not shriveled, 

 no external evidence of cholera. 



Subcutaneous tissues moist. 



Peritoneum moist, few cubic centimeters of fluid present. 



Pericardial sac grayish white. Heart is soft. 



Lung. — ^Voluminous, pinkish gray in color, lower lobe of left kuig firm, solid, 

 slight fibrinous exudate on its surface. Cut section shows hepatization, grayish 

 brown in color, quite moist. Upper lobe crepitant. Cut section pinkish in color. 

 Right lung ujjper lobe dark red, firm, numerous petechial htemorrhages show 

 beneath visceral pleura. Cut section shows hepatization, surface light brown in 

 color, and is moist. Pieces sink in water. Lower lobe softer than upper, dark 

 colored, similar in consistency. 



Spleen. — Enlarged, firm, dark purple. Cut section shows dark chocolate surface 

 in ^\■hich ]\Ialpighian bodies and trabeculae are seen plainly. 



Kidneys. — Left is enlarged, foetal lobulations lost, pale gray in color, capsules 

 strip readily. Cut section shows moist surface, anremia. Striations clearly seen, 

 glomeruli seen as reflecting dots of light. 



Liver enlarged, chocolate colored, lobulations distinct. Organ fairly firm. 



Intestines not congested, mucosa intact, contents are watery with some yel- 

 lowish semi-fluid foscal material. 



Urinary bladder empty. 



Examination of intestinal contents reported positive for cholera by the Bio- 

 logical Laboratory, Bureau of Science. 



Case Ui.-^Ij. S. — Age, 1 month 29 days. Male. History and diagnosis by Dr. 

 C, municipal physician. September 16 had fever, vomited milk; abdomen was 

 distended. September 17, fever, slight strabismus, no diarrhoea, thirst, and in a 

 semicomatose condition. September 18, fever higher, "localized in the head," cold 

 extremities, transient convergent strabismus, much restlessness, crying continually. 

 Diagnosis, acute meningitis. 



The medical inspectoi' in cliarge of the district failed to secure a sample of 

 tlie intestinal contents of the child. 



