2716 The Philippine Journal of Science 1915 
hemorrhage in the tissue surrounding the glands. Just beneath the middle 
of Poupart’s ligament are two lymphatic glands which are about 2 centi- 
meters in diameter. These are pale and on section are seen to contain 
a considerable amount of greenish pus. Smears from the primary bubo 
show many pest bacilli; smears from the pus show very, very few pest 
bacilli and no other organisms. 
Case 2184.—Filipino, male, 5 months old. The duration of illness was 
fifteen days. This was anatomically a typical uncomplicated case of bu- 
bonic plague with primary cervical bubo. The description of the bubo is 
as follows: The right side of the neck, just back of the sternocleidomastoid 
muscle, shows a slight enlargement over an area measuring 2.5 by 2 
centimeters. The apex of this is soft but not fluctuating. On cutting 
through the skin, the knife encounters in the subcutaneous tissue a small 
amount of purulent reddish gray fiuid, which seems to be the substance 
of broken-down lymphatic glands. The glands in this region are all 
enlarged, extending upward behind the angle of the jaw and downward and 
outward behind the clavicle. The glands are for the most part discrete, 
but swollen and congested. Smears from the purulent fiuid show no 
organism other than B. pestis. 
Case 2431.—Filipino, female, 19 years old. The duration of illness was 
two weeks. This was a case with suppuration in the left axilla and an 
intense suppurative ependymitis. In the right axilla are several glands 
which are slightly enlarged and moderately hyperemic but not hemorrhagic. 
In the anterior part of the axilla two or three small cavities containing 
thin grayish pus are opened. It is difficult to say that these abscesses 
have arisen in the lymphatic glands, though one or two have that appear- 
ance. There is slight cdema of the fatty tissue in the anterior part 
of the axilla, but there are no hemorrhages. No other glands appearing 
like primary buboes were found. The cerebral leptomeninges contain a 
slight excess of fluid, which appears slightly turbid. On opening the right 
lateral ventricle, it is found to contain a considerable amount of yellowish 
gray pus. The choroid plexus is gray and soft. The left choroid is 
smaller, but is also surrounded by grayish exudate. The fourth ventricle 
is apparently free. The brain substance is pale and shows nothing ab- 
normal. In smears from the spleen, glands, and pus from the axilla 
no bacteria were found. Smears from the pus of the ventricle were 
loaded with plump bacilli, which varied greatly in size. These were shown 
by culture and animal inoculation to be piague bacilli. 
Case 8129.—Filipino, male, 6 years old. .The duration of illness was 
one week. This case was one with extensive pharyngeal and laryngeal 
involvement and pulmonary infarcts, with suppuration in the mesenteric 
and cervical lymphatic glands. There was a mass of suppurative glands 
at the head of the pancreas, and some of the cervical prevertebral glands 
were suppurative. The portal of entry of the bacilli in this case was 
apparently either the tonsils or pharynx. A few plague bacilli were found 
in smears from the suppurative glands, and a pure culture was obtained 
from the spleen. 
Case 3215.—Chinese, male, 16 years old. The duration of illness was 
four days. This was a case with primary left femoral bubo, which de- 
veloped a large secondary cervical bubo and lobular pneumonia while under 
observation. The extensive primary bubo had undergone marked necrosis 
and suppuration in its central portion, and in smears from this pus many 
plague bacilli were found, a number of which were intracellular. 
