Document 8RqbzJrKpwxJrRbxn8qgZVw2e

leptomeningitis, with confirmation of bacilli in spinal flui<f by animal experiment, which led under increasing loss of" con sciousness and cachexia to death on September 15, 1952. Autopsy /No 75V revealed following diagnosis : Leptomeningitis basilaris tuberculosa with a moderate hydrocephalus internus and generalized brain edema. Spondylitis tuberculosa of the 3rd and 4th lumbar vertebra with large bilateral abscesses along the psoas muscles. Old partially calcified tuberculosis of both seminal vesicles, epididymis and prostate. Extensive scarring tuber culosis of pulmonary upper lobes with small cavities bilaterally. Uixed-infectious tuberculous subpjeutal bronchiectasis in the right lower lobe. Bilateral tuberculous pleuritis with residual empyema on the right side and with complete bilateral obliteration with pleural plaques and calcifications. Pericarditis healed by oblite ration. Hematogenous dissemination of tuberculous foci in the lungs, in the spleen and in the right ItMiity. Universal cachexia of a high degree. Asbestosis II of the lung-- *ith moderate diffuse fibrosis of pulmonary parenchyma /fig.l, . Scanty asbestosis of the regional lymphnodes, asbestosis bodies in the spleen /fig. }/. Chronic catarrho-purulent bronchitis and peribronchitis with focal miliary purulent bronchopneumonias in both lungs. Light hypertrophy of the right heart. Moderate congestion of organs. Nephrolithiasis of both sides with kidney- and bladde; grit, dilatation of the renal pelvis, chronic catarrhal cystitis and pyelonephritis. Stercoral ulcers in the rectal mucosa. Athero sclerosis I of the coronary arteries and of the ascendens aorta. Local_finding_in_the_abdominal_cavitj_^ On the mesenterium and on the abdominal viscera, particularly in the ileocecal regipn, there were partly stripe- and netform gray-white thickenings of the serosa with many nodules of pinhead up to millet seed size. Particularly extensive confluent conglomerates and solid gray-white plaques were located predominantly on the bottom face of the right diaphragm /fig.4/ as well as on lateral serosa, and scattered also on both liver lobes and in the left subphrenic region. One plaque of a hand-palm size over 1 cm thick composed of whitish solid tissue with glassy-colloid cutting, surface was found in the Douglas^ recess /fig. 5/. Histologically peritoneum everywhere showed rich prolife ration and strong swelling of epithelium which partly created cubic