ASSOCIATED SPIROCH^T^ AND FUSIFORM BACILLI. 493 



Tn January, 1911, W. J. Bruce(7) reported under the title of "Zambesi Ulcer" 

 a condition which he had not previously seen described. The lesions, as seen by 

 Bruce, were generally situated below the knee and consisted of punehed-out ulcers 

 which healed after one or two weeks without the production of any constitutional 

 symptoms. In the smears from the ulcers he invariably found in great numbers 

 a spirillum and a large fusiform bacillus. 



A little time before the receipt of this report of Bruce one of us found 

 spirochsetse and fusifonn bacilli in large numbers in an ulcerated area 

 on the foot of a Filipino. This ulcer was thought to be due to yaws, 

 and smears from it were stained for Treponema perteniie. No trepone- 

 mata were detected, and no other organisms except delicate spirochset^, 

 i-anging in length from 15 to 50 fi, and heavy fusiform bacilli the length 

 of which varied from 5 to 10 fi. Photomicrographs of the organisms 

 are appended. We were at once impressed by the resemblance of these 

 parasites to those described as the cause of the so-called Vincent's angina. 

 The fusifonn bacilli were of the same size and presented the same barred 

 appearance on staining. Many were identical with Bacillus fiisiformis 

 of Plant and Vincent, but on the average the ends did not seem quite 

 as sharp as those of the organisms found in throat lesions. The spiro- 

 chsetse were rather longer than those observed in the mouth and fauces 

 and did not seem to stain as intensely with cold carbol-fuchsin. The}' 

 were very slender and had from 6 to 12 shallow undulations, but differed 

 considerably among themselves in size and shape. 



Unfortunately this patient passed from obsei-vation before these or- 

 ganisms were demonstrated. Consequently no cultures were made and 

 no history was obtainable. 



During the last two years we have examined smears from a large 

 number of ulcers of the skin, but have not encountered these organisms 

 on any other occasion. Doctor E. P. Strong and others in Manila in- 

 form us that they have not met with them in lesions of the integument. 

 Eecently. Lieutenant Armin Mueller, Medical Corps, United States Army, 

 stated that he has found several such cases at Camp Jossman near 

 Uoilo, P. I. 



BRONCHIAL SPIKOCHyETOSIS WITH AN OCCASIONAL FUSIFORM BACILLUS. 



Bronchial spirochgetosis was first described by Castellani in 1906 

 since which date numerous cases, both acute and chronic, have been 

 reported by observers in various tropical countries. From the description 

 given by Castellani and Chalmers in their Manual of Tropical Medicine 

 it appears that most, it not all, of these diagnoses, have been made 

 'from the sputum examinations alone. In 1909 Phalen and Kil- 

 boume(ll) of this Board reported a ease of pulmonary spirochaetosis 

 in a Filipino, but called attention to the fact that the causative rela- 

 tion of the spirochgets to the disease was not proven. The report mentions 

 that a few large bacilli were present, but does not state whether they 



