390 UNIVERSITY OF VIRGINIA PUBLICATIONS 



taneous fat almost absent. Muscles pale, Recti were semi-translucent. Peritoneal 

 cavity contained about 100 cc. of clear yellow fluid. Common bile duct, cystic, 

 hepatic, and pancreatic ducts were filled with tape-worms and dilated to a diameter of 

 about 5 inch. The worms extended a very short distance into the duodenum. Liver 

 was smooth and apparently normal except for the dilatation of the ducts. In the 

 omentum were found several gelatinous cysts and one cyst similar to these was found 

 encapsulated on the surface of the liver. This cyst was more or less dried up into 

 a somewhat cheesy mass. Diaphragm clear. Pericardial cavity contained 10 or 20 

 cc. of clear fluid. The surfaces were smooth and glistening. Heart valves delicate 

 and normal. Pericardial fat greatly reduced. Myocardium, pale brownish red, semi- 

 translucent. In the substance of the left ventricle was found a caseating nodule 

 similar to that on the surface of the liver. Pleural surfaces smooth and glistening. 

 Lungs were only moderately voluminous, pink, and crepitant throughout. No nod- 

 ules present. Trachea and bronchi and bronchioles free from mucus and from 

 worms. Vessels at the root of the lungs were clear. On section lungs were normal. 

 Spleen small, surface smooth, consistence soft. On section dark reddish brown; 

 malpighian bodies and trabeculae well made out. Kidneys were alike. Capsules 

 stripped readily leaving smooth, pale surface. On section, the glomeruli and stria- 

 tions were faintly seen. Pyramids were pale. Mesenteric lymph glands were large, 

 soft, and pale, frequently showing on section a rather dark gray medulla. Adrenals 

 appeared normal. Esophagus clear. The first stomach contained about two or three 

 quarts of food in which could be recognized a very small amount of locoweed in a 

 large amount of hay. All four stomachs and intestines were apparently normal 

 showing a slight amount of rather sticky mucus about the middle of the jejunum. 

 No stomach worms were seen nor any worms in the intestine. The sinuses connected 

 with nose appeared clear, the mucosa pale except that in the frontal sinus was found 

 a fly larva. The front teeth were loose, long, and irregular both in length and posi- 

 tion. The gums appeared normal, pale and firm. There was no evidence of suppura- 

 tion nor of foreign material at the roots of the teeth. The brain and its membranes 

 appeared clear throughout. Surfaces of brain and medulla were pale and normal. 

 No excess of fluid. Convolutions prominent. No sign of pressure. No discoloration 

 of brain or medulla, Internal genitalia appeared normal. Hemolymph glands stood 

 out plainly, apparently were not enlarged. The intima of aorta was uniform and un- 

 changed. 



Microscopic report. Heart, the striations and fibrillations were distinct, especially 

 striflitions. The undifferentiated central region of heart muscle cells appeared to be 

 unduly large but the pigmentation was not increased. The section contained a large 

 number of cysts located within heart muscle cells, one was found within a large un- 

 differentiated Purki-nje cell. In another section of heart, the nodule described in the 

 autopsy was met with. In the center of the nodule was a mass, apparently the cross 

 section of a parasitic worm or embryo. Around this was bluish purple debris with a 

 space between the parasite and the debris. . The purple material ended sharply in a 

 zone of fibrillated, pinkish debris, apparently necrotic heart muscle. This passed over 

 rather sharply into relatively normal heart muscle. In the intermediate zone between 

 the debris and the heart muscle there was fibroblastic tissue with large and small 

 lymphoid cells collected here and there. The growth of fibrous tissue was not uni- 

 form throughout the periphery of the nodule but could be clearly made out at several 

 points. In one or two regions it was definitely becoming flattened in the direction 



