158 ^^^ Philippine Journal of Science im 



undermined edges. During the ten days after admission, from 

 September 21 until October 1, the bowels remained constipated, 

 and there was no change in the general condition, although the 

 external wounds had healed. However, from October 1 to Oc- 

 tober 4 there was slight diarrhoea, and from October 4 to October 

 13 there was an alternation of constipation and slight diarrhoea. 

 During this time the bowels would be constipated for one or two 

 days without any evacuation, which would be followed by several 

 evacuations the next day. She became progressively weaker 

 and died October 13, 1916. 



The temperature during the twenty-four days in the hospital 

 remained subnormal, varying from 35.5° to 36.5° C. On two 

 occasions it rose to 38° C. within four hours and as rapidly 

 became subnormal. The pulse fluctuatecj between 80 and 90 

 per minute. 



The respiration averaged 20 per minute. The number of 

 stools varied from one to three a day with nine days without 

 any passage of stools. 



Laboratory reports. — The faeces on September 27, 1916, showed 

 Balantidium coli, encysted amoebae, ova of Trichuris and Ascaris, 

 blood, and pus. On October 4 they showed numerous motile 

 Balantidium coli and some Blastocystis hominis. On October 8 

 there were no balantidia. The urine showed a decided trace of 

 albumin, some pus and red blood cells, granular casts, epithelial 

 cells, and mucus. The blood was not examined. 



The clinical diagnosis was: Epithelioma of mouth, involving 

 cheek, tongue, and upper jaw, mixed tumor of parotid, balanti- 

 diasis, trichuriasis, ascariasis, amoebiasis (intestinal), blastocyst- 

 iasis, and inanition. 



The autopsy was performed October 14, 1916, fourteen hours 

 after death. An examination of the faeces at this time failed to 

 reveal any balantidia. The anatomic diagnosis was: Chronic 

 catarrhal colitis (possibly balantidial), chronic diffuse nephritis, 

 chronic ulcerative tuberculosis of the lung, infected tumor of 

 parotid, ascariasis, and trichuriasis. 



The body is that of a very poorly nourished adult Filipina, 

 whose age is 51 years, weight 25.10 kilograms, and length 157 

 centimeters. The skin is dark brown and is shrunken over most 

 of the body. On the lateral surface of the right hip there are 

 several open ulcerative lesions about 2 centimeters in diameter. 

 These extend into the subcutaneous tissue. On the right fore- 

 arms there are ulcerative lesions, which extend into the subcuta- 

 neous tissue. The corneas are very turbid, and the eyes are 

 sunken. The mucosa of the mouth is covered with a whitish 



