﻿454 The Philippine Journal of Science im 



died of cholera; bacillary colitis had supervened upon an old 

 case of entamoebic colitis. The anatomical lesions associated 

 with these intestinal diseases have been so characteristic of the 

 diseases in which they occurred that their simple notation al- 

 most suffices to explain their importance. 



INTESTINAL TUBERCULOSIS 



In view of the well-known prevalence of tuberculosis in the 

 Philippine Islands, it was to be expected that tuberculous in- 

 testinal lesions would stand first numerically. The latest report 

 of the Director of Health shows that during the fiscal year 1913 

 tuberculosis was responsible for 17.9 per cent of the deaths of 

 the residents in the city of Manila. Our work shows that 5.6 

 per cent (56 cases in all) of all cases coming to autopsy had 

 intestinal tuberculosis. 



Table II. — Causes of death in 56 cases of intestinal tuberculosis. 



Generalized tuberculosis 35 



Perforation of tuberculous ulcer 3 



Intercurrent diseases: 



Asiatic cholera 



Bacillary dysentery 



Typhoid 



Malaria 



Leprosy 



Gastric cancer 



Fatty heart 



Pregnancy 



Postpartum sepsis 



Postoperative peritonitis 



Cholangitis 



Chronic nephritis 



In a majority of these cases tuberculosis was widespread 

 throughout the body, and 35 patients died of generalized tuber- 

 culosis. Three cases of perforation of tuberculous ulcers 

 occurred, 1 at a point 30 centimeters above the ileocaecal valve, 

 1 in the caecum, and 1 in the rectum. The other cases died of 

 intercurrent diseases. From the standpoint of clinical diag- 

 nosis, it would seem important to remember that an extensive 

 tuberculous colitis may closely simulate an entamoebic colitis, 

 and several such cases have been encountered. 



The cases dying of intercurrent diseases require no comment. 

 In general, it may be said that tuberculosis as it attacks Filipi- 

 nos is very frequently extremely widespread throughout the sys- 

 tem and in the intestine the lesions extend throughout a large 

 part of its length. 



