iig 
We  will  now  refer  to  the  histological  changes  presented  by  the 
kidneys  in  another  attack  of  blackwater  fever  (Case  i6),  in  which 
death  occurred  seven  days  after  haemoglobinuria  had  ceased,  during 
which  period  640  c.cm.  (22^  oz.)  of  urine  of  specific  gravity  i'oi5  were 
passed  daily  (see  clinical  notes,  pp.  235  to  239).  Although  in  this  case  it 
Fig.  43.  Section  of  cortex  of  kidney,  seven  da3's  after  haemoglobinuria 
had  ceased.  Hlackwater  F’ever,  Case  16.  Transverse  section  of  renal 
tubule.  The  lumen  is  occupied  by  darkly  stained  large  coarse 
granules,  to  5/i  in  diameter,  similar  to  those  seen  in  the  preceding 
Figures,  and  also  by  smaller  granules,  less  darkly  stained  and  about 
I'S/i  in  diameter.  The  section  is  lightly  stained.  Fixed  in  Flemming’s 
solution.  Stained  with  iron  alum  haematoxylin  x  1400. 
