AETIOLOGY OF TUBERCULOSIS. 
105 
Liver and spleen contained giant cells, among them some with bacilli. In the 
bronchial glands also, small groups of bacilli could be shown only in a few spots. 
7. —Baker’s apprentice, seventeen years old, anaemic, of a delicate build, had 
coughed for half a year, was taken into the hospital with a pleuritic exudation 
from the right side. Puncturing the thorax brought out 500 ccm. of clear serous 
liquid. Four weeks later cerebral symptoms appeared, and after another two 
weeks death followed. Dissection showed tuberculous pleurisy, miliary tubercu¬ 
losis of the lungs and tuberculous meningitis. In the little knots of the lungs, as 
also in those of the pia mater, tuberculous bacilli were found and in some places 
very abundantly. 
8. —Six-year-old girl. Bronchial glands and partly verkalkt (ossified.) Sin¬ 
gle lobuliire (lobular, lobe-shaped ? ) red, hepatized herds in the lungs, within 
which the bronchige were supplied with purulent contents. At the base of the 
brain muddy “sulzig” infiltrations of the pia. Numerous miliary and sub-mil¬ 
iary knots in the vessels of the fossa Sylvii. Microscopic examination showed 
tuberculous bacilli in small numbers in scattered spots in the bronchial glands. In 
the hepatized parts of the lung the alveoli were found filled with bacteria of va¬ 
rious sorts, (aspirations pneumonia). The meningeal tubercles were very abun¬ 
dantly supplied with tuberculous bacilli. 
9. —Workman thirty-four years of age, drunkard, treated two years before on 
account of scrofula of the wrist bones. Complication with “ lymphangitischen ” 
(pertaining to inflammation of the lymph vessels) abscesses on the upper part of 
the left foot and upper part of the thigh. Death, with cerebral symptoms, after 
seven weeks’ stay in the hospital. The dissection showed caseous infiltration 
with formation of cavities in the tips of both lungs, miliary tubercles in both 
lungs and at the base of the brain. Quite numerous tuberculous bacilli were 
found in the tubercles of the lungs as well as in the meningeal tubercles. 
10. —Five year old boy. Wide-spread caseous degeneration of the bronchial 
glands. In the tip of the left lung a caseous herd larger than a hazel nut, with 
the centre in a state of disorganization. A moderate number of comparatively 
large miliary tubercles in the lungs. Quite numerous grey and yellowish little 
caseous knots in liver, spleen and kidneys. The pia mater of the basis of the 
brain greyish, yellow “ sulzig ” infiltrated. Under microscopic investigation nu¬ 
merous tuberculous bacilli were found, partly enclosed by giant cells, in the 
bronchial glands ; also great heaps of bacilli in the tubercles of the brain mem¬ 
branes. In the little knots of the lungs, liver, spleen and kidneys only compara¬ 
tively few bacilli were present. 
11. —A one-year-old child very much afflicted with atrophy, said to have 
been taken sick with a cough eight days before its arrival at the hospital. The 
bronchial symptoms and dyspnoea which showed themselves in the first examina¬ 
tion, increased, and the child died two and one-half weeks later. The right upper 
lobe of the lung was found to be caseously infiltrated, bronchial glands caseous. 
Numerous miliary tubercles on the peritoneum, on the diaphragm and in the spleen. 
Tuberculous meningitis. In the meningeal tubercles numerous tuberculous 
bacilli. Nests of bacilli in the caseous parts of the lungs and in the bronchial 
glands. Scattered bacilli in the tubercles of the peritoneum and diaphragm, ex¬ 
clusively enclosed in giant cells. A moderate number of bacilli in the tubercles 
of the spleen. 
