X
CASE No. LVI.—GREY
ARAB, ENTIRE (aged). Admitted in Bombay on the 18th
December 1891 at 10-10 A.M. with a history of fever of one month's duration.
Temp. 40.1°C. Blood contained numerous Surra parasites. The animal contract-
ed the disease in Bombay. It is emaciating day by day, but has never been off its feed
during the above period.
Sent up to Poona on the 23rd evening and arrived on the morning of the 24th. Hæma-
tozoa very numerous in the blood.
24th December.— Temp. A.M. —1 P.M. 39.3°C., 5 P.M. 40.3°C. Hæmatozoa very
numerous in the blood.
25th.—Temp. A.M. 38.4°C., 1 P.M. 38.7°C., 5 P.M. 40.4°C. Hæmatozoa swarm-
ing in the blood.
26th.—Temp. A.M. 36.1°C., P.M. 37.4°C., 5P.M. 39.7°C. Hæmatozoa swarming in
the blood.
27th.—Temp. A.M. 35.4°C., P.M. 38°C., 5 P.M. 38.2°C. Hæmatozoa swarming in the
blood.
Animal died at 9-30 P.M.
AUTOPSY.—December 28th, 1891, at 10 A.M.
Body somewhat emaciated, membranes of a yellow colour with numerous petechiæ on
the conjunctival membranes of both eyes.
Thorax.—No fluid in the pleural cavities and no adhesions. Right lung much distended
with air from decomposition ; no signs of any small, circular extravasations on the surface of
the organ. On section the cut surfaces are of a greenish tinge from decomposition having
set in. Left lung pale, no extravasations, slight emphysema at the apex. On section
pale in colour with localized patches red in colour, due to small extravasations giving a
marbled appearance to the tissues.
Heart.—Extensive extravasations running down the course of the anterior coronary
vessels and in some places extending from half an inch to one inch on either side of them.
Right auricle and right ventricle blood-stained, no extravasations. Left auricle nil. Left
ventricle numerous, slight sub-endocardial extravasations chiefly involving the musculi-
papillares and also one or two of the valves (tricuspid). The extravasations do not appear
on section to penetrate into the muscular substance of the organ.
Abdomen.—The peritoneal cavity is free from fluid.
Stomach.—Cuticular portion healthy, the villous portion is normal in colour, and presents
a raised lamp with a crater-like opening on the summit, about one and a half inches from the
line of demarcation. The lump measures two inches in diameter and is raised half an inch
above the surrounding tissue. About a quarter of an inch below the inside rim of the crater-
like opening at the summit of the tumour are five or six openings, very much resembling the
structure of a honeycomb. On section, the tumour is found to be pale in colour and to be
made up of small spaces, partitioned off. It is probably a nest of the " spiroptera megastoma."
Liver.—Weighs 11 lbs. 3½ ounces.
The convex surface shows signs of old perihepatitis. The tissue of the organ is
spongy from decomposition.
Spleen.—Somewhat large, weighs 3 lbs. 13 ounces ; an old cicatrix, white in colour, occupies
a position about the centre of the convex surface. On section tissues are firm and healthy.
Kidneys.—Right 1 lb. 11 ounces. Left l lb. 10 ounces. Capsule of the right kidney slightly
adherent, surface somewhat granular, the posterior border presents numerous stellate veins
considerably dilated and congested. On section this condition was found to permeate the
cortical substance for about an inch.
Left Kidney.—Pale, capsule strips easily, no extravasations under the capsule.
Small Intestines.—Healthy, with the exception of a few ecchymoses dotted over the
surface of the mucous membrane. No ulceration present.
Large Intestines.—Normal.
Bladder.—Normal.