100 [CHAP. II.
a dusky red colour and not distinctly round and marked off from the lung-tissue, as in the
cases of plague-pneumonia described above.
The Liver was most peculiar; it was slightly enlarged and congested as in the early
nutmeg condition, and was stuffed throughout with small yellow rounded masses in size
from pins' heads to peas. They were rather soft and friable but not fluid, and there
was no area of engorgement around them. They were found both on the surface and
throughout the whole substance of the liver. They looked like necrotic foci.
Spleen, rather large and a little engorged.
Kidneys, senile degenerative changes and a little engorgement.
Intestines, some general engorgement of the stomach and intestines, and distinct
petechi in the mucous membrane of stomach and large intestine. There were no deposits
in any of these organs such as were found in the liver.
Condition of Lymphatic Glands. Right Inguinal, the lowest was the largest, like a
walnut, light red and firm; the higher ones were smaller and paler, and one of them con-
tained a small softening area.
Left Inguinal, the lowest was like that on the right side, and the upper ones slightly
enlarged and red.
Right and Left Iliac, the lowest was like an almond, light red and rather firm, and the
upper ones much smaller and paler.
Lumbar, small and nearly normal.
Bronchial, rather large and engorged.
Supra-trochlear, right, small and normal-looking; left, slightly large, soft and pink.
Axillary on both sides were all red and engorged, and varied in size from a pea to a
hazelnut.
Cervical, like the axillary.
Mesenteric, some looked a little enlarged, soft and pink, and some looked normal.
Distribution of the Plague-Bacillus. Glands, Right Inguinal.-A considerable number
of plague-bacilli, which stained well.
Left Inguinal.-Enormous numbers, on both sides; fewer seen in the smaller glands.
Right Iliac, a fair number, and Left Iliac many more; seen best in the large glands.
The Axillary and Cervical glands showed a few plague-bacilli; the Right Supra-
trochlear very few and the Left Supra-trochlear an enormous number, just like the large
Left Inguinal glands.
Liver.-In the yellow masses described above an enormous number of distinct plague-
bacilli were seen, whereas the liver generally showed only a few, about as many as in an
ordinary case, and far less than in the yellow patches.
Sections of the liver were also examined, and presented the following appear-
ance:-The liver was in the early nutmeg condition, the central veins dilated, with
some blood corpuscles extravasated around them, the portal vessels also congested
and fat globules in the adjoining liver-cells. The liver-substance stained badly,
and, scattered through it, the above-mentioned masses were seen, all better-stained than
the liver-cells and looking finely granular; some were large, some small, and some were
seen under the microscope which were not visible to the naked eye. The small ones were