74 EDITORIAL. 



and methods of prophylaxis, in order that they may be sent out not 

 only as general practitioners realizing the importance of treating infec- 

 tions with intestinal worms, but also to serve as sanitary officers in 

 the towns, municipalities and provinces of the Islands, capable of intelli- 

 gently enforcing sanitary regulations against animal parasites and of 

 instructing the people concerning the reason and necessity of the meas- 

 ures enforced. 



Philip E. Garrison. 



OCCURRENCE OF TUBERCULOSIS IN ONE HUNDRED 

 AUTOPSIES IN THE PHILIPPINE ISLANDS. 



In a consecutive series of necropsies at the Philippine Medical School, 

 active tuberculosis was found in thirty-four of the first one hundred 

 cases and was with its complications, the cause of death in all but two 

 of the thirt} r -four. 



The lungs were involved in thirty-three cases, the disease in the other 

 being apparently confined to the peritoneum, careful search failing to 

 reveal any tuberculous focus elsewhere in the body. The most frequent 

 type of lesion in the lung was the chronic, ulcerative form of the disease 

 which occurred in twenty-four of the cases. The amount of lung tissue 

 involved in this type of the disease was in many instances remarkable. 

 More or less involvement of all lobes of both lungs, with a minimum 

 amount of air-containing alveoli was present in seven of the series; of 

 both upper lobes in five; of all lobes of the right lung in one; of the 

 entire left lung in two; of all lobes of both lungs except the right 

 middle, in one; of all the left lung and right lower in one; of the left 

 upper in two ; of the ' right upper in one ; of the right lower and left 

 lower lobe respectively in one each. 



The miliary type of tuberculosis was found in five cases, in two of 

 which it was the only form of lesion present and of the remaining 

 seven, four showed caseous nodules as the prevailing lesion; a gelatinous, 

 pneumonia occurred in two and a chronic fibroid in one case. In all 

 of the thirty-three autopsis there were lesions of the pleurae varying 

 from localized adhesions to complete obliteration of one or both pleural 

 cavities, with varied fibrinous and calcareous changes. 



Renal tuberculosis occurred in four of the above cases, the left organ 

 being involved in two, the right in one and both in one. In one in- 

 stance of kidney involvement the right suprarenal was also tuberculous 

 and in addition one other case of suprarenal tuberculosis was encoun- 

 tered involving both glands, with no involvement of the kidneys. 



Twenty of the cases of pulmonary tuberculosis showed caseation of 

 the bronchial glands ; three, similar lesions of the mediastinal ; five, of 

 the mesenteric and three, of the retroperitoneal lymph glands. 



