I 
99 
' Gates (1905, p. 115) reports endocarditis as sequela in his case 8 . 
One of the cases of 1903 had not fully regained the use of his legs 
in the summer of 1904. 
Autopsies. 
I The following autopsies have been made: 
j Idaho. — Apparently none. 
I Montana. — 1897: Case 35, by Buckley, reported briefly in Wilson and Chowning, 
I 1903a, page 33, and Anderson, 1903c, page 13. 1902: Case 89, by Wilson, Longeway, 
! Brethauer, and Buckley, reported in Wilson and drowning, 1903a, page 50; case 9i , 
by Wilson, Brice, Longeway, and Buckley, reported in Wilson and Chowning, 
1903a, page 52; case 93, by Wilson and Spottswood, reported in Wilson and Chown- 
ing, 1903a, page 54; case 94, by Wilson, Chowning, and Buckley, reported in Wilson 
and Chowning, 1903a, page 56; case 97, by Chowning, reported in Wilson and 
Chowning, 1903a, page 55; case 107, by Wilson and Longeway, reported in Wilson 
■ and Chowning, 1903a, page 47. 1903: Case 120, by Anderson, Wilson, Gwinn, Mills, 
Olson, Pixley, and Spottswood, reported in Anderson, 1903c, page 32. 1904: Case 
11, by Ashburn, Mills, and Stiles, reported in Stiles, 1905, p. 109-110. 
(?) : Case — , by Hanbidge and Gwinn, reported briefly in Gwinn, 1902. 
(?): Case — , briefly referred to by Gwinn, 1902. 
Pathology. 
Idaho. — “The pathological conditions, as at present understood, may be described 
with a large-sized interrogation point.” — Maxey, 1899, pp. 434-435. Fairchild (1896) 
has seen no autopsies. The lesions, so far as Figgins (1896, p. 64) knows, are con- 
fined to the skin. 
Montana. — Gwinn (1902) reports slight enlargement of the liver and kidneys, 
together with slight degeneration, in one case on autopsy. 
The gross lesions are very uniform; intense rigor mortis appears early (Wilson 
and Chowning, 1904a, p. 41). 
The changes are those which can be ascribed to interference with capillary circu- 
lation; the extravasation into and pigmentation of the skin account for the persist- 
ence of the spots for long periods after the recovery of the patients; there is acute 
parenchymatous degeneration of the heart muscles, spleen, liver, and kidney; the 
central nervous system is but little affected (Wilson and Chowning, 1904a, p. 43). 
Anderson (1903c, p. 38) summarizes the post-mortem findings in 7 cases (6 of 1902, 
1 of 1903) in the Bitter Boot Valley. 
Rigor mortis was intense in cases 89, 91, and 93 (Wilson and Chowning, 1903a, 
pp. 50, 52, 54), but not in case 120 (Anderson, 1903c, p. 32). 
For further details see special organs. 
CLINICAL HISTORIES. 
During m 3 " work I did not take clinical notes, as I had so maii}^ 
other things to occup}" my time. Clinical notes were, however, taken 
b}" the attending ph}"sicians and to some extent also b}" Doctor Ash- 
burn. As both Wilson and Chowning (1902a, 1903a, 1904a) and Ander- 
son (1903a, c) had studied the clinical side, and as I was looking especiall}" 
for the life histoiy of the parasite as a basis for prevention, I natu- 
rally neglected to go into an especiall}^ detailed clinical study, blood 
