﻿40 



MUSGRAVB. 



Table No. 4. — Showing pathologic summary 



External find- 

 ings 



Lymphatics,. 



Muscles _ 



Thoracic cav- 

 itv. 



Pleurse. 



Lungs. 



Pericardium . 



Heart . 



Emaciation and anaemia, 

 marked chronic con- 

 junctivitis. Bluish 

 ulcer right axilla con- 

 taining ova P. wester- 

 manii. 



Necrotic in right axilla 

 and contain ova P. wes- 

 termanii. Superficial, 

 all moderately en- 

 larged. Inguinal and 

 femoral, markedly en- 

 larged. Abdominal 

 enlarged, some nec- 

 rotic and contain eggs 

 of P. westermanii. 



Soft, pale and coarse. 

 Adult P. westermanii 

 in left pectoralis major 

 and another in cyst 

 cavity in abdominal 

 wall." 



Many adhesions. Bluish 

 P. westermanii cyst on 

 under surface of ster- 

 num. 



Considerable fluid with 

 flocculi and stringy ma- 

 terial in both, Many 

 adhesions. both vis- : 

 ceral and parietal, con- 

 tain many bluish P. 

 westermanii cysts with 

 eggs. Some are in 

 chest wall outside pleu- 

 ra. 



Moderate bronchitis. No , 

 bronchieetatic cavities 

 and no eggs or para- 

 sites free in bronchi. 

 Numerous areas of 

 b r o n c h opneumonia. 

 largest near surface. 

 Many of these areas 

 contain cysts with P. 

 v, .</. rmanii, and others 

 contain ova. Many 

 bluish cysts with eggs 

 or parasites not in the 

 pneumonia areas. 



Small amount of cloudy 

 fluid but no eggs. Se- 

 rous surfaces dull and 

 adherent over right au- 

 ricle. Eggs and para- 

 sites in adhesions in 

 brownish patches. 



Muscle brown and coarse; 

 Paragonimus lesions 

 extend a short distance 

 from pericardium. 



General nutrition good: 

 moderate jaundice: 

 macular skin eruption. 



Axillary moderately en- 

 larged and congested. 



Soft and pale. Both pec- 

 toralis major muscles 

 contained cystic ab- 

 scesses with adult P. 

 westermanii. A chain 

 of abscesses in abdom- 

 inal wall on right side 

 extending down be- 

 hind the kidney. A 

 few small abscesses in 

 the calf muscles of both 

 legs. 



A few small, bluish, cys- 

 tic abscesses on under 

 surface of sternum. 



Both cavities contain 

 yellow, flocculent fluid 

 with long shreds of 

 necrotic tissue. Both 

 visceral and parietal 

 pleura; and even exter- 

 nal to the pleura; are 

 very numerous, bluish 

 cystic abscesses con- 

 taining ova or para- 

 sites. 



Moderate bronchitis with 

 ova but no parasites 

 free in the tubes. Both 

 organs contain many 

 areas of broncho-peu- 

 monia, the largest one 

 being superficial. 

 Some of these areas ap- 

 pear as those of ordi- 

 nary pneumonia while 

 others surround cystic 

 abscesses. There are 

 also numerpus bluish 

 cystic abscesses, more 

 numerous subpleural, 

 which are not sur- 

 rounded by pneumonic 

 areas. 



Normal amount of clear 

 fluid, a few adhesions 

 between the epi- and 

 pericardium. Both 

 membranesshowsmall, 

 brownish areas con- 

 taining ova. Several 

 bluish cystic abscesses 

 on outer surface of pa- 

 rietal membrane. 



Surface shows many little 

 brownish raised areas 

 which contain ova and 

 follow the vessels in dis- 

 tribution. Muscle pale 

 and friable. 



Emaciation extreme. 

 Small, subcutaneous 

 abscesses at back of 

 neck and left mam- 

 mary region and in 

 left groin containing 

 ova. 



Superficial, all enlarged, 

 one in left groin and 

 two in right axilla 

 broken down and con- 

 tain ova. Bronchial 

 glands bluish and con- 

 tain abscesses. 



Wasted. Large left psoas 

 abscess containing over 

 50 adult parasites: 

 other small abscesses in 

 posterior abdominal 

 wall on both sides. 



Dark, slate-colored cys- 

 tic abscesses on under 

 surface of sternum. 



Extensive obliterative 

 pleuritis. All tissues 

 and even extra pleural 

 structures infiltrated 

 with typical abscesses. 



Extensively involved; 

 areas of bronchopneu- 

 monia and abscess for- 

 mation as in Cases I 

 and II. 



Extensive obliterative 

 pericarditis. Both 

 parietal and visceral 

 surfaces covered with 

 dark, brownish, raised 

 areas containing ova. 

 Two adult parasites 

 under visceral peri- 

 cardium. (See PI I.) 



Muscle very brown. For 

 surface see above and 

 Plate I. 



