A case of status lymphaticus / by J.H. Musser and J.T. Ullom.

  • Musser, John Herr, 1856-1912.
Date:
1904
Catalogue details

Licence: In copyright

Credit: A case of status lymphaticus / by J.H. Musser and J.T. Ullom. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    hemorrhag’ic type. Collections of staphylococci are scattered through the consolidated parts, and above them the lung tissue and exudate in air cells is necrotic. The vessels show no especial changes. Bronchi show marked alterations, consisting in thickening of mucous membrane with infil- tration of polymorphonuclear leucocytes, small round cells and epithelioid cells, while the superficial portions are necrotic, and epithelium is partially or wholly desquamated. There are many cocci in groups, found in sections stained by Weigert-Gram, which are scattered through the necrotic mucous membrane and seen in the lumen. The trachea and larynx show practically the same condition as the bronchi. Mucosa is par- tially necrotic and covered with masses of cocci in groups. There is practically no formation of fibrin, and no pseudomembrane. No bacilli can be found. Small lymph glands surrounding the trachea are infiltrated with polymorphonuclear leucocytes, and one gland is converted into an abscess. The bronchial and cervical lymph glands show hyperplasia of the lymphoid folli- cles with swelling and necrosis of the germinal centers. There is endo-thelial proliferation, and the lymph sinuses are large and packed with polymorphonuclear leucocytes, epithelioid cells, red blood cells, fibrin, and coagulated serum. The thymus gland shows very little change •