24 
W. E. HOWE. 
be small spots, a little larger than a pin-head, but close together, 
or much larger ones, the size of a pea. Others may be close 
together, perhaps coallesced to form still larger ones, and I have 
seen other severe cases with scarcely any spots at all upon them. 
Still other cases will have a diffuse redness around the scrotal 
region and a red line along the underside of the abdomen. In 
some it will be confined principally to the ears, which will be 
much swollen and covered with red spots. In the majority of 
cases the spots will be thicker and better defined on the thinner 
and softer portions of the skin. The appearance of the intes¬ 
tines varies much with the severity and stage of the disease at 
the time it is seen. As they are dropped upon the bench beside 
the inspector they may not attract any particular attention. 
The lymphatic glands of the mesentery may be inflamed. If 
the intestine is slit the punctiform haemorrhages may be found, 
or in more severe cases the button-like ulcers ; still others will 
show the mucosa sloughed away for a long distance and the 
inflammation extending through the wall of the intestine show¬ 
ing severe inflammation and extravasation of blood into the 
mesentery and the surrounding fat. The kidneys also have 
small punctiform haemorrhages in the cortex and frequently in 
the extremities of the pyramids. The peritoneum occasionally 
presents haemorrhagic areas, especially upon the sides, and 
easily noticed against the fat, which forms a white background. 
The spleen is enlarged, swollen, full of blood, very soft and brit¬ 
tle, dark colored, almost black. The lungs present a varying 
appearance, sometimes only a few small areas of congestion will 
be seen, while in others larger portions will be involved in a 
pneumonia. Punctiform hemorrhages may also be seen on the 
base of the tongue, on the heart, and in severe cases in nearly 
all parts. The lymphatic glands throughout the system are 
much enlarged, swollen, congested, and when cut appear to be 
full of blood. Sometimes the glands will appear to be in¬ 
flamed only upon the surface. 
The bones appear normal upon the surface, but when cut 
the cancellated structures will appear very black. 
