YELLOW FEVER EXPEDITION 521 
The following is a summary* of the conditions found at autopsy : — 
Post-Mortem 
Axillary 
Femoral 
Mesenteric * 
+ 
l\/l'irL r f i H 1 0 i*o*f* 1 JP^niT/ rrtti- 
gested. Very juicy. 
Juicy. 
Swollen and pink. 
5 
Large and massy. Not mark- 
edly injected. 
? Enlarged. 
1 i trrp 1 n f i 11 1 n [' 
J_j t lIL:C ..til LI L'lllrv. 
6 
Much enlarged. Dark, con- 
gested. Juicy. 
Large. Pale. Juicy. 
Not particularly enlarged. 
Pale. 
7 
iviucn mjecieu. iviucn en- 
larged. 
1 irTro 1 111/*T7 |'l 
i-idigC. J LUCY . 1 cllC 
rsj y-^ no tp 
0 
0 
Enlarged. Injected. 
Large. Pale. 
i\a Lfici large i mk. 
9 
Much enlarged. Deeply red. 
Seem large. Not reddened. 
Large. Pale. 
10 
Large : Somewhat reddened. 
Not apparently large. 
tn 
Markedly large : Rather red. 
Large, but not injected. 
Larger than normal. Some 
m ucli reddened. 
tl2 
Markedly large. Some deep 
red. 
Large : Somewhat reddened. 
13 
Marked large and red. 
Apparently large. Not much 
J 1 1 J LL LCLt . 
Very distinct, and mostly 
m tlPn l*Pnnf*nPn inn 
11 1 LI L i 1 i L LlLl t_ 1 1 CU 1 1 LL 
large. 
Much enlarged and reddened. 
Perhaps large. Pale. 
Rather large : Not very 
red. 
'5 
Large : Rather red. 
Rather large. 
All much enlarged, and 
rather pink. 
16 
Much enlarged and very red. 
Enlarged, and rather pink. 
17 
Much enlarged. Deeply in- 
jected. 
Large. 
With regard to the enlargement and sometimes intense inflammatory condition of 
the axillary glands, it may be that it is solely due to the irritation of poisons (or bacteria ?) 
introduced by gnat bites, independent of yellow fever, or that it is due to the absorp- 
tion of the specific cause of yellow fever. The principal locations of gnat bites may 
bs said to be the hands, head and neck, and the ankles ; it is curious to note that in 
our autopsies the femoral group of glands were never injected with the intensity seen 
in the axilla and neck. 
* Berangen Ferand says that enlargement of mesenteric glands in yellow fever is due to typhoid infection (Traite de la 
Fie'i're jfaune, p. 61. Paris, 1891) : if this were the case we could hardly have failed to cultivate 
the typhoid bacillus, or to have some typhoid ulcers. 
\ In these two the cervical glands were looked at, they were very deeply reddened, and some had haemorrhages. 
