General Diseases. ■ 309 



which were stained by hsemorrhagic patches, the capillaries 

 were distended, and contained the same abnormal elements ; 

 these were also seen in the connective tissue of these 

 parts, as well as between the nerve-bundles and muscular 

 fibres. In the interior of the capillaries of the haemorr- 

 hagic patches themselves, between the masses of red blood- 

 globules, were immense colonies of micrococci ; the same 

 condition was observed in the peritoneum and its connec- 

 tive tissue. The muscular fibrillae were scarcely distin- 

 guishable in these patches, and their meshes were enor- 

 mously distended by escaped red blood-globules and an 

 extraordinary number of colonies of micrococci, with an 

 exuberance of plasma- globules. 



" In the round hsemorrhagic spot on the left kidney, and 

 for some depth in its substance, were masses of red blood- 

 globules and clustering rows of wandering micrococci. All 

 the tubules of the gland were filled with exudate, in which 

 bacteria and plasma-globules were seen in great quantities. 

 In the right kidney the migratory vegetable organisms 

 {pandering pilzen) were observed to be in their first stage 

 of development. Not a part of the liver that was examined 

 but contained the retrograde vegetable formations ; all the 

 cells were filled with them. Between the fibres of the 

 heart were only discovered layers of plasma-globules and 

 bacteria ; but many of the smaller veins were filled with 

 colonies of micrococci which adhered to their walls. The 

 spleen was in the same condition as the liver ; indeed, the 

 reporter states that it was only an emulsion of cells, cell- 

 debris {trummern), nuclei, bacteria, small micrococci, and a 

 diversity of large plasma-globules. The pulmonary blood- 

 vessels contained the characteristic diphtheria organisms 

 (diphtkeriepihes) ; in one portion of the parenchyma of the 

 lungs was found a small micrococci ecchymosis. 



" All these alterations are well illustrated by coloured 

 drawings. 



" From the case of accidental transmission of diphtheria. 



