CASE 67.—Private Asa C. Wentworth, Co. H, 19th
Me.; was admitted Nov. 26, 1863, with
jaundice. [This man appears on the register of the
regimental hospital as admitted on the 18th with
typho-malarial fever and sent to general hospital on the
22d.] Died Jan. 12,
1864. Post-mortem
examination twenty-two hours after death: The pharynx and
larynx were inflamed; the soft palate hard, stiff and white;
the tonsils unaffected; between the pharynx and right
arytenoid cartilage was a large abscess with hard,
yellowish-white walls; the cartilage mentioned was the seat
of a protuberance, probably a collection of pus; there was
also a small abscess immediately above the left greater
cornu of the hyoid bone; the vocal chords and the upper
surface of the epiglottis were œdematous. The
pericardium contained seventeen drachms of yellowish fluid;
the heart was very soft. The liver was bronzed and mottled
with hard lardaceous spots, the gall-bladder full of
dark-brown viscid bile; the spleen was rather small and
extremely soft; the pancreas soft and of a dull-red color;
the kidneys congested. In the ileum the villi were very
soft; Peyer's patches were not raised, but one of them
presented an ulcer with low rounded edges, at the base of
which the transverse muscular fibres could be seen; the
ileum had the ironed-out appearance. The colon was
slate-colored, its solitary follicles whitish, with
conspicuous dark-spotted centres.—Ass't
Surg. Harrison Allen, U. S. A.,
Lincoln
Hospital, Washington, D. C.