70 The Philippine Journal of Science im 



bronchi; while the third follows the course of the bronchi into 

 the lungs. That all these glands may be involved is shown 

 by a case where a localized triangular-shaped tuberculous bron- 

 chopneumonia of the left upper lobe of the lung showed enlarged 

 glands all along the course of the bronchi and caseous glands 

 around the trachea and hilum of the left lung only. 



As to the role played by the bronchial glands, Wollstein(53) 

 found the glands adjacent to the right bronchus the seat of 

 primary lesion in 74 per cent of her cases. 



Rothe(45) and Dunn (12) believe that the respiratory tract is 

 the usual entrance of the infection in children. 



In this series the cervical and thoracic glands were found ma- 

 croscopically tuberculous in 82 cases, the mesenteric and retroper- 

 itoneal in 51 cases, and both sets in 21 cases. 



The aerogenic type of infection in Filipino children is pro- 

 bably also the rule, since artificial feeding with fresh cow's 

 milk or any domestic animal is rare and since tuberculosis 

 among cattle and hogs is reported by Brewer as absent. (7) 



Table VII. — Relation of involvement of different organs. 



Cases. 



General miliary 28 



Lungs and thoracic lymphatic glands only 13 

 Lungs and mesenteric glands 2 



Lungs and intestine and mesenteric glands 12 

 Lungs, thoracic glands, and liver 1 



Lungs and meninges 1 



Lungs, pleura, spleen, and thoracic glands 1 



Lungs, glands, and spleen 1 



Lungs, pleura, and mesenteric glands 1 



Lung (left), mediastinal glands, diaphragm, and spleen 1 



Lymphatic glands only 6 



Intestines and mesenteric glands 4 



Intestines and brain 1 



Intestines and peribronchial glands 1 



Jejunum alone 1 



Thoracic glands and meninges 3 



Bones and joints 1 



Intestines, healed ulcers 1 



Pleura. The pleura showed the miliary form in 8 cases and 

 fibrosis in 42, which is the opposite to the type seen in the lungs. 



Alimentary system. The ileum held the first place. The stom- 

 ach case was a boy 5 years old (autopsy 2524) that died of 

 multiple abscesses of the liver due to Ascaris and ulcerative tuber- 

 culosis of the stomach and intestines. 



The liver, spleen, and kidneys were affected in the miliary 

 form, especially the last, or were also involved in a general 



