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Case at the Hospitals of Alexandria, Va.
CASE 72.—Post-mortem examination: Body not
emaciated. The veins of the cerebral membranes were
distended with black blood; the brain was firm and slightly
injected; its lateral ventricles contained thick pus and
their veins were black and engorged; the velum interpositum,
valve of Vieussens and the membranes from the optic
commissure down the medulla as far as could be seen were
covered with lymph and pus; the gray matter of the
cerebellum was so pale as to be scarcely distinguishable
from the white matter; the cerebellum and spinal cord were
softened. The upper and lower lobes of the right lung were
somewhat congested and showed dark-purple or blackish
patches of softened tissue; the middle lobe was
œdematous, of a gray color tinged with pink, and
presented at its margin a patch of shrunken liver-red tissue
full of enlarged bronchial tubes containing pus; the left
lung was similarly affected but in a less degree. The heart
was normal. The liver was somewhat enlarged, yellow and
granular; the spleen small, its trabeculæ and
Malpighian bodies enlarged, dry and bloodless; the
intestines and kidneys normal; the bladder largely distended
and the overlying recti muscles of a bright-red color.