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No 54,an infant of 7 months. This also has been spoken of in the previous paper.
The small intestine showed tubersulous ulcers and the mesenterio glands were m-74 ;
larged, adherent and caseous. In the right upper lobe was a caseated focus, as large
as a sobnut, extending into the tissue of the adjasent lobe. The possibility of sin-
ultaneous infection of respiratory and alimentary tracts was mentioned in reference
to this case,
Ko 12,« girl of 4 years, with tuberculous caries of the spine. In the discussion on this case it was stated: "The spinal site was probably the oldest; from the number
of ulcers in the intestine, from the fact of the large and mall both being involved,
and from the mesenterio glands being in large caseous masses, the alimentary tract would appear to have been involved prior to the lung." There was a subapical focus
in the right lung the size of a cobaut, becoming oaseous,
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No 67, a female infant of 6 months. This is a good example of the presence of a lung focus when the pertel of entry is probably, almost certainly, elsewhere. The mesenterio glende were in large caseous masses, whereas the mediastinal were not much enlarged and contained merely mall caseating points. The tuberculous infection of the lung was limited to the middle lobe of the right,ine which was a diašinst
foous the size of a paɛ.
No 66, a child of 20 months. The disease in the lung was limited to the right upper lobe where there was a subapical faqua, the size of a large pea. The condition in the alimentary tract was much more advanced; there were numerous tuberculous ulcerak in the mall intestine and the mesenterio glands were in large caseous masses.
Ao 106, a boy of 4 years,had a focus just below the apex of the left lung,over which the pleura was adherent,and the broncho-pulmonary glands were enlarged and caseous. The intestinal condition waa much more marked and of older standing.There were tuberculous ulcers in the mall intestine, the peritoneum was thickened and studded with tubereles varying from miliary to the size of a mall pes, and the Mosenteric glands were enlarged, adherent and in caseous masses.
No 152. A girl,ß years of age. The details of this have already bem given, As
mall regards the point now under consideration, there were several ulcers in the intestine and the correlated glands were in adherent caseated masses. In the lefý lung were two foel,one the size of a cherry in the upper lobe, another slightly larger in the lower. The glanda here were in a condition similar to those of the abdomen and there are indications from this and from the distribution and characte: of the pulmonary lesime that the portal of entry may have been by both the respir-
atory and alimentary routes.
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