Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . , whose influence may be wide-spread; at the same time the bacilligain access to the viscera, and may be found not only in the patches,but in the mesenteric lymph-nodes, spleen, and liver, and frequently(ninety per cent, of the cases) in the blood. The mesenteric nodesare infiltrated, and occasionally necrotic; sup])uration due to the pyo-genic activitv of the bacillus, or to mixed infection by pyogenic cocci, 73° SPECIAL PATHOLOGY. may occur. There are three recorded instances of rup


Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . , whose influence may be wide-spread; at the same time the bacilligain access to the viscera, and may be found not only in the patches,but in the mesenteric lymph-nodes, spleen, and liver, and frequently(ninety per cent, of the cases) in the blood. The mesenteric nodesare infiltrated, and occasionally necrotic; sup])uration due to the pyo-genic activitv of the bacillus, or to mixed infection by pyogenic cocci, 73° SPECIAL PATHOLOGY. may occur. There are three recorded instances of ruptured^ mesen-teric node. The adjacent lymi)h-nodes (retroperitoneal) may be in-volved. The spleen is enlarged, soft, and may show infarction, rupture, or gan-grene. (See Acute Splenic Tumor, p. 4,34.) The liver is the seat of cloudyswelling, and quite constantly contains areas of coagulation kidneys exhibit a similar change, or, as a result of the intense tox-emia and bacteremia, an acute nephritis may be present. The musclesof the abdomen and the adductors of the thighs are commonlv altered. it^.


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