268
surrounding skin was bluish and indurated. Death evidently took place from exhaustion and sapræmia.
Acute Peritonitis.
Total number of cases examined, 8. In 6 of these the disease appeared to be primary. The other 2 were secondary to Abscess of the Liver.
The following is a tabular statement in regard to the primary cases :-
No. Sex.
1
F.
Age. 4 years.
2
M.
40
3
F.
30
19
F.
5
M.
17
"?
2 88 +H
∞
6 M. 38
Bacteriology.
Streptococcus pyogenes and Bacillus
coli communis.
Streptococcus pyogenes. Same as No. 1.
Staphylococcus pyogenes and Bacillus
coli communis.
Bacillus coli communis.
Same as Nos. 1 and 3.
These results are in harmony with those obtained by other workers, as FLEXNER, whose valuable studies have added much to our knowledge regarding the somewhat complicated and obscure etiology of Acute Peritonitis. The micro- organisms setting up Acute Peritonitis either reach the peritoneum by way of the blood stream or the lymph channels. The question of micro-organisms invading the peritoneum through the intact intestinal wall has as yet to be settled.
Cerebral Hæmorrhage.
Number of cases, 5. All the cases occurred in adults varying from 18 to 58 years of age. In each there was evidence of past syphilitic infection.
The heart was normal in all the cases.
In one of the cases, the extravasated blood had forced its way by a process of cleavage through the centrum ovale into the lateral ventricles. This form is usually known clinically by the name of Ingravescent Apoplexy.
Number of cases examined, 917.
Plague.
It is not intended to enter here into details as regards the pathology of Plague and the results which have been obtained during the past year. A considerable amount of research has been prosecuted in regard to this subject, especially from the point of view of mode of infection, and further some interesting observations have been made as to the pathology of the disease.
.
Foods, insects, dust, clothing, etc. have been examined, and the results obtained have proved satisfactory.
It is proposed to prepare a special Report, dealing with the subject of Plague from various interesting points of view. The following types of the disease were met with during 1903-
Right Femoral Bubo,
Pestis Bubonica.
156
Left Femoral Bubo,
153
Right and Left Femoral Buboes..
4
Right Inguinal Bubo,
26
Left Inguinal Bubo,
18
Right and Left Inguinal Buboes,
1
Right Femoro-Inguinal Bubo,
2
Right Axillary Bubo,
73
Left Axillary Bubo,
58
Right Cervical Bubo,
18
Left Cervical Bubo,
Left Parotic Bubo, Left Sub-Maxillary Bubo,
Pestis Septicæmica, Pestis Pneumonica,
16
2
1
529
339
49
Total,
917
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