VAsye) The Philippine Journal of Science 1915 
tinguished another type of plague of this class. Wilm,” Hos- 
sack,!? and Zuppita 1* have reported such cases, but no case of 
primary intestinal plague has been unequivocally proved. 
Childe % says: 
* * * That no bubo of the mesenteric glands was ever found; these 
glands were always examined, and though changes might be found in them, 
they were always less marked and less distinct than plague glands found 
in other parts of the body. In short, there was no autopsy which went 
to show that the plague bacillus had reached the stomach or intestine, e. ¢., 
in food, and then infected the mesenteric glands. 
However, this does not exclude the occurrence of secondary 
intestinal lesions in plague, which will be described in my cases. 
CUTANEOUS PLAGUE 
Cutaneous plague does not present any characteristics entitling 
it to recognition as a separate entity, and the lesions encountered 
on the skin will be later described. 
PESTIS MINOR 
The Anglo-Indian Commission ** reports on pestis minor or 
ambulans as follows: 
In addition to the three main types of plague which have been described 
above (bubonic, septiczemic, and pneumonic), an abortive form of bubonic 
plague comes under observation. This is technically known as pestis minor 
or pestis ambulans. It cannot be doubted that in these abortive bubonic 
cases the bacteria are,.as in the case of ordinary bubonic plague, carried 
to the lymphatic glands, but they are held back there, the disease stopping 
short of the septicemic stage. In correspondence with this the constitu- 
tional symptoms are very light. Indeed in certain cases not only the 
constitutional, but also the local symptoms may be so slight as to be, except 
for their pathological interest, almost undeserving of attention. Such 
cases appear to be extremely common among persons who have been much 
exposed to the infection of plague and are characterized by sensations of 
numbness and tingling, or by neuralgic pains, which in many cases are 
associated with the development of shotty glands in the armpit and the 
groins. We may, however, remark here that the whole question of pestis 
minor urgently requires to be more fully elucidated. 
Since my experience has been gained in the morgue and 
laboratory, and cases of pestis minor are not fatal, I am not 
in a position further to refer to these cases. 
* Hyg. Rundschau (1897), Nos. 5 and 6 (quoted by Herzog). 
* Brit. Med. Journ. (1900), 2, 1486. 
“ Zeitschr. f. Hyg. u. Infectionskrankh. (1899), 32, 268. 
* Report of the Indian Plague Commission (1898-99), 1, 368. 
*Tbid. (1898-99), 5, 54. 
