76 THOMPSON YATES AND JOHNSTON LABORATORIES REPORT 
those entering the cord were much dilated. The congestion was less marked in the 
lumbar region. At places a greyish stripe of infiltration was visible at the sides of 
the vessels. 
Tympanic and nasal cavities were normal. 
Thyroid normal. Both tonsils were enlarged but not actively. The glands 
of the neck were enlarged (four cm. long, two cm. broad) ; on cross section they 
presented a partial haemorrhagic infiltration, being brownish-red in colour and speckled 
with grey points the size of a pin's head (Fig. 5). The connective tissue at the hilus was 
hyperplastic. The submaxillary lymphatic glands were also haemorrhagic. Lungs 
were free from adhesions and much congested. In the pleura of the right lung 
numerous haemorrhages were present. The peri-bronchial glands were enlarged, 
showing the same changes as the glands of the neck. 
The pericardium contained six c.c. of yellowish, blood-stained serum. The heart 
was of normal size, pale, and flabby ; the epicardial fat well defined from myocardium. 
The cavities contained much dark fluid blood. The bicuspid valve was a little 
thickened, the other valves and aorta were normal. The mucous membrane of 
oesophagus and trachea was pale. 
The abdomen contained a few c.c. of clear fluid. The liver was congested but 
otherwise appeared normal. The capsule was not thickened. The gall bladder 
contained much dark greenish bile. The spleen was increased in size (1 8 x I 1 x 4 cm.), 
ot a dark-reddish purple colour, hyperaemic, of solid consistence ; capsule thickened. 
The malpighian bodies appeared hyperplastic on section, the medullary substance 
showed small white striae, but was otherwise normal. The bladder contained cloudy 
urine, its mucous membrane pale. External genitals normal. Stomach and intestine 
showed a little congestion. Slight enlargement of lymph follicles and Peyer's patches 
could be made out ; no cicatrices nor ulceration. The mesenteric glands were of a 
somewhat haemorrhagic appearance. 1 he inguinal glands were the most enlarged 
(5x3 cm.), and showed the same changes as the cervical glands. Pancreas and supra- 
renals normal. 
The bone marrow of the femur was reddish, with irregular greyish patches 
disseminated in it. 
Histology 
On microscopical examination the organs showed lesions very similar to those of 
the previous case. 
The Epicardium showed a varying amount of small-celled infiltration, most marked 
in the neighbourhood of the larger vessels and continuing along them into the 
myocardium. The infiltration consisted of leucocytes with a fair number of eosinophile 
cells and numerous red blood corpuscles. The endocardium also showed small-celled 
infiltration with similar constituents as in the epicardium. The striation of the muscle 
