viiL B. « Schobl: Plague in Manila in 1912 411 



Table II. — Examinaton of plague patients who recovered. 



Patient. 



Race. 



Sex. 



Age. 



Date of 

 examina- 

 tion. 



1912. 



c . 



3 



Q 



Bubo. 



1 

 Blood. 



s 





1= 



1! 



1 



3 



, 1 

 a 

 c 

 '*^ e 



So ! 









Yeare. 



Days. 











i 











Sept. 29 

 Oct. 2 



2 

 6 



+ 



+ 



; 





 



' 

 



2. DioniaioCapate. 



Filipino--. 



Male 



m 



Oct. 3 

 Oct. 7 



6 

 10 



















+ 1:16 

 











Oct. 15 



18 



- 



— 





— 



+ 1:64 



6. Alejandra 



European. 



Female _ . 



6 



Oct. 20 



7 



+ 



+ 



+ 











Fisher. 









Oct. 22 



2 



+ 



+ 



+ 



+ 



— 











Oct. 24 



4 



+ 



+ 



+ 











IJ. Gabriel Sevilla . 



Filipino- . - 



Male 



21 



Oct. 26 

 Nov. 8 



6 

 18 



















T^l:16 

 











Nov. 15 



25 





- 



- 



" 



■ 1:64 











Nov. 26 



3 



+ 



+ 



+ 



+ 



- 











Dec. 6 



13 















— 



+ 1:82 



19. Esteban Roa .. 



.. .do -- 



.--.do ---. 



15 



Dec. 16 

 1913. 



23 





~ 



" 



~ 



+ 1:60 











Jan. 11 



48 



— 



— 



— 



— 



+ 1:120 











Dec. 2 



(?) 



+ 



+ 



+ 











20. Sia Su-.- 



Chinese 



...do 



35 



Dec. 5 

 Pec. 16 



















+ 



+ 1:80 









24. Purificaciondel 



Filipino-.. 



Female - . . 



19 



Dec. 11 

 Feb. U 



3 

 33 



+ 



+ 



+ 





 





 



Val. 























Note.— The bubo in Nos. 2, 5, and 24 never opened spontaneously. The pus was aspirated 

 at the time of the second, eventually third, examination. Nos. 11 and 19 opened spontane- 

 ously. A fistula formed along the canal which was caused by the puncture, and healed 

 op in several weeks. Hard inguinal buboes of secondary order persisted in patient 19 at 

 the time of second examination. No plague bacilli were found either in the bubo of the 

 first or second order. Patient 20 had a considerable amount of pus in the inguinal primary 

 bubo, but it was not opened until after the last examination. 



The diagnosis of plague could be safely made from the micro- 

 scopical examination of the liquid aspirated from the bubo in 

 the majority of the cases. However, in certain instances the 

 amount of the aspirated fluid being small and the bacilli very 

 few, it was impossible to diagnose the case, especially when the 

 cultures from the bubo were negative. Repeated examination 

 of the patient was necessary under those conditions, but it 

 happened in cases 22 and 23 that the patients died of plague 

 before a second examination could be made. The smears and 

 cultures from case 22 remained sterile, while the smears and 

 cultures made from the swelling on the neck of patient 23 

 revealed the presence of pneumococci. Both patients died of 



