638 
Philippine Journal of Science 
1920 
the mechanical stage. The administration of the benzyl ben- 
zoate was continued, however, until February 6, when the 
patient vomited and complained of severe abdominal pain. We 
are inclined to believe it possible that the vomiting might have 
been caused by the drug, because, in one or two instances, the 
senior author has encountered patients who complained of a 
slight degree of nausea after the drug had been administered to 
them over a period of several weeks. However, the great 
majority of the patients studied by him have never complained 
of even this. In no instance has the nausea attributed to benzyl 
benzoate been in any way comparable to that produced in the 
general run of cases by ipecacuanha or emetine-bismuthous- 
iodide. 
The abdominal pain subsided under paregoric, but the pa- 
tient began to complain of general bodily pain, and on February 
11 it was seen that he was very ill. He was unable to swallow 
his food. Later, he became delirious and suffered distressingly 
in his efforts to breathe. His stools remained well formed — a 
state bordering on constipation — and careful search failed to 
reveal any balantidia. The last stool was examined just twenty- 
four hours before the death of the patient, which occurred at 
3.20 p. m., on February 17. It was negative for Balantidium,. 
The abdominal and thoracic cavities were open one hour and 
ten minutes later. The intestinal tract was removed as quickly 
as possible. Inspection of the body before this had led to the 
discovery of a shallow but rather extensive infected ulcer about 
5 centimeters in diameter over the prominence of the large tro- 
chanter on the right side. 
The left pleural cavity contained about 150 cubic centime- 
ters of sero-purulent material. The base of the left lung was 
slightly adherent to the pleura by fibrino-purulent adhesions. 
The right pleura was free and slightly moist. 
The left lung was greatly congested at the inferior lobe, the 
base of which was haemorrhagic. In two places the lung was 
greenish in color, necrosed and suppurating. Much purulent 
material was expressed from these necrotic areas. Purulent 
material was also expressed from the cut ends of the bronchi. 
The upper lobe of the right lung was pale, slightly pigmented, 
and slightly emphysematous. This lung was congested at the 
base. Thin, easily removable adhesions were found between 
the base of the left lung and the adjacent pleura. 
