296 The Philippine Journal of Science 1915 
The mesenteric and mesocolic nodes were slightly enlarged, firm, 
and pink. Pnewmococcus and B. pestis were isolated from the 
spleen. 
The third case (2024) will be reported in full. 
These cases form no basis for assuming a primary intestinal 
infection, but on the other hand prove that these intestinal lesions 
may occur secondarily. 
The intestinal lesions contain large numbers of bacilli, which 
would make the feces of these cases a source of contamination. 
Intestinal parasites (Ascaris lumbricoides, Trichuris tri- 
chiuris, and hookworms) were found in 46 of the 75 cases. In 
8 of the cases all 3 species were found, in 18 cases 2 species were 
found, and in 20 cases only 1 species was found. 
CASE WITH EXTENSIVE GASTROINTESTINAL HAMORRHAGES 
Case 2024.—Filipino, male, 30 years old. Anatomic diagnosis: Bubonic 
plague; acute hemorrhagic lymphadenitis, iliac (primary bubo), mesocolic, 
mesenteric, and lumbar; retroperitoneal ecchymoses; hemorrhages, epicar- 
dial, pleural, peritoneal, intestinal, and gastric; acute gastritis with 
hemorrhagic erosions; congestion of lungs, kidneys, and liver; parenchym- 
atous degeneration of kidneys and liver; acute hyperplasia of spleen. 
The body is that of an adult, male Filipino which is well-nourished and 
exhibits marked rigor mortis and some post-mortem suggillation. The body 
is still warm. There are no scars or cutaneous abrasions. The super- 
ficial lymphatic glands are not markedly enlarged. The pupils are equal, 
moderately dilated, circular. The conjunctive and cornez are clear. The 
nose, ears, and mouth are normal. On section there is a moderate amount 
of subcutaneous fat. The muscles are well-developed, brown, and moist. 
The abdominal cavity is free from fluid and adhesions. The initial body 
section was continued into both inguinal regions, where no cedema was found; 
the lymphatic glands were not enlarged. The intestines are moderately 
distended, and the peritoneum along the brim of the pelvis shows diffuse 
bluish discoloration with minute petechie. The liver reaches the right 
costal margin. The diaphragm is at the fourth interspace on the right and 
fifth interspace on the left. 
The thorax. The pleural sacs are free from fluid and adhesions. There 
is a small amount of thymic tissue which is pink and glandular, the thymic 
tissue probably not exceeding 5 grams in weight. The tissues of the 
anterior mediastinum are not cdematous. The lungs are somewhat re- 
tracted, exposing a large precordial area. On opening the pericardium, 
there is a slight excess of clear fluid. The parietal pericardium is smooth 
and pale. 
The heart is large; the apex is formed by the left ventricle. The right 
ventricle presents anteriorly. There are numerous petechiz over the epicar- 
dium, especially on the right side of the heart. The right heart contains a 
considerable amount of red fluid and clotted blood. The tricuspid ring admits 
three fingers. The endocardium is smooth and pale throughout the right 
heart. The tricuspid and pulmonary leaflets are thin and pliable. The 
muscle of the left ventricle is considerably thickened, dark, and moist. The 
