Document LpxQr3nN8XnmpvobxBDn2oYxz

Et h y l Ga s o l i n e Co r po r a t i o n At l a n t a Of f ic e 141T He a l e y B u il d in g GWD.J\V\!iaSfrONr bMnANAGER G.P.Ro s s e r A SS IS T A N T D IV IS IO N M A N A G E R A t l a n t a , G e o r g i a Ma rc h 8 1937. Dr. R obt. A. Kehoe, K etterin g Laboratory Eden Avenue-College o f M edicine Cin c in n a t i , Ohio . D ear Dr* Kehoe, ., You w i l l r e c a l l t h a t , l a t e in 1936, o u r Mr. McOooley u n co v ered a c a se a t Tampa, F lo r id a , w hich proved to be e x c e p tio n a lly i n t e r e s t i n g . O n e w o r k i n g fo r th e S ta n d a rd O il Company o f K entucky, d i e c n q ? r i ^ L 7 t h , 1936, a f t e r h a v in g h elp ed c le a n o u t a t a n k . The case was not brought to our d te n tio n a t th e tim e as th e d o cto r diagnosed th e man' s i l l n e s s a s b r o n c h ia l pneum onia; how ever, a s e ttle m e n t was made by Standard Oil o n ^ 0 H ||^ f e h e irs sore tim e th e l a t t e r p a rt of th e y ear, a t w hich tim e Mr* McOooley became s u s p ic io u s and in v e s t ig a t e d f u r t h e r . L a st w eek, Mr * 0 . B .L ew is, to g e th e r w ith Mr* MoCooley, c a l l e d a t th e S ta n d a rd O il Company a t Tampa and re c e iv e d t h e a tta c h e d copy o f a l e t t e r w r i t t e n b y D r. L. B. M itc h e ll to S ta n d a rd O il Company un d er d a te o f May 1 s t . There is lik e w is e a tta c h e d a copy o f th e a u to p sy perform ed on th e body of 4 ^ y ^ H B n U k o n A p ril 30th, and signed by H. R. M ills, P a th o lo g ist, m r Lewis r e q u e s te d t h a t we send t h i s t o you f o r a n y comment you c a re d t o make. I t is fo r your inform ation and f i l e s . A t th e tim e Mr* McOooley un co v ered t h i s s i t u a t i o n , he found t h a t S ta n d a rd had c o lle c te d a sample of th e sludge back in A p ril a t th e tim e th e p a tie n t d ie d , and had s to r e d i t in th e basem ent o f th e g e n e ra l o f f i c e s . This sam p le was s e n t t o you i d e n t i f i e d a s " S ta n d a rd O il Company o f Kentucky-Tam pa, F lorida* tank # 1 6 , bottom sludge" .OX X Very tr u ly yours, Qm /F .L ^ jt > W arren. P. S .- This tank has never been used fo r blending purposes. e n c lo su re s. CO-Mr * Lewis c O P y DR. L . B. MITCHELL Tampa, F lo rid a . May 1 , 1 9 3 6 . S ta n d a rd O il Company Tampa, F lo rid a Dear S irs: 38 o f 206 W. Oak A venue, was b ro u g h t t o m e on A p r i l 1 s t f o r e x a m in a tio n . He gave a h i s t o r y o f h a v in g c le a n e d o u t an em pty g a s o l i n e s t o r a g e ta n k on M arch 3 0 t h . On g o in g to bed t h a t n ig h t he f i r s t n o tic e d d i z z i n e s s , n a u se a and v o m itin g , s o re t h r o a t and p a i n i n th e l im b s . He was u n a b le to work th e f o llo w in g d a y . P h y s i c a l ex am in atio n was e s s e n t i a l l y n e g a tiv e e x c e p t f o r c o n g e stio n of. the th r o a t, m ild c o n j u n c t i v i t i s o f b o th e y e s and te m p e r a tu r e o f 99-g-. From th e h i s to ry g iv en I thought i t probable th a t the i ll n e s s was due to the in h a la tio n of gas fum es, b u t on l a t e r in v e s tig a tio n in view of the f a c t th a t th e tan k in which he had worked had been empty f o r s e v e ra l m onths and was w e ll v e n tila te d , i t seemed h ig h ly im p o ssib le th a t he had been ex posed to g a s o lin e fum es o f s u f f i c i e n t s tr e n g th to cause him. to be i l l . A d ia g n o s is o f in flu e n z a was th e n made. I a g a in saw him on A p ril 4 th fo llo w in g a s l i g h t hem orrhage from the n o se. E xam ination o f the nose showed a sm all s u p e r f ic ia l u lc e r on th e septum which was e v id e n tly th e cause o f the b le e d in g . H is g e n e ra l c o n d itio n a t th a t tim e seemed to be good. On A p r i l 1 0 th I was c a l l e d to se e him a t h i s home and he had im proved t o s u c h an e x t e n t t h a t I th o u g h t him a b le to r e t u r n to work Mon d a y th e 1 3 th . How ever, th e n e x t d a y , A p r i l 1 1 th .I was a g a in c a l l e d to see him and found him to be s u f f e r in g m ild d e liriu m , somev/hat e x a g g e ra te d r e f l e x e s b u t he had l i t t l e te m p e r a tu re . The d e lir iu m became more in te n s e and X th o u g h t i t w ise to c a l l i n D r. H. Mason S m ith f o r c o n s u l t a t i o n . He was u n a b le to d e te c t a n y th in g e x c e p t a to x em ia o f u n d e te rm in e d o r i g i n . The The p a t i e n t r s c o n d i t i o n g r a d u a l l y became w o rse and he d ie d on th e m o rn in g o f.A p ril 17th. \ A ll blood and u rin e specim ens d u rin g th e i l l n e s s were nega t i v e . A specim en o f s p in a l f l u i d o b ta in e d on A p ril 1 2 th was a b s o lu te ly n e g a tiv e . A p a r t o f th e s p in a l f lu id and u rin e was sen t to a chem ical la b o ra to ry to be s u b je c te d to a t e s t f o r le a d as i t was th o u g h t th e re m ight be a p o s s i b i l i t y o f an acu te le a d e n e e p h litis . E xam ination showed the specim ens to c o n ta in le a d in le s s than norm al am ounts. S in ce th e cause o f th e i l l n e s s was somewhat o b scu re I thought i t n ecessary to o b ta in an autopsy to a c c u ra te ly determ ine the c a u se o f d e a t h . D r. H e r b e r t M i l l s , who p e rfo rm e d th e a u to p s y , r e p o r t e d - i ?r2 th a t d eath was caused by broncho-pneum onia, tr a c h e o - b r o n c h itis and in flu e n z a . . I am e n c l o s i n g th e c o m p le te a u to p s y r e p o r t o f D r. M i l l s to g e th e r w ith h is sta te m e n t, th e re p o rt and statem en t from Thornton & Company and s ta te m e n t o f D r. H. Mason s m ith . LBMiDC end. Very tr u ly y o u rs, L . 3 . M i t c h e l l , M. D. KE 0017253 c O P y LABORATORY OF CLINICAL PATHOLOGY 912 C itiz e n s Bank B u ild in g Tampa, F lo r id a . A pril 30, 1936. D r. L. B. M itc h e ll, F ir s t N atio n al Bank B ld g ., Tampa, F lo r id a , Dear Dr. M itc h e ll: The r e p o r t o f th e a u to p sy p erfo rm ed on the body o f c o lo r e d ) on A p r i l th e 1 7 th , 1936 a t th e F u n e r a l Home o i^ !S y f i l i lam s, 1615 Orange Avenue, Tampa, F lo rid a i s as fo llo w s: The body i s t h a t o f a n eg ro m ale a b o u t 34 y e a rs o f a g e , m e a su rin g 76 in c h e s i n l e n g t h , and w e ig h in g a b o u t 165 p o u n d s. The body i s v ie ll d e v e lo p e d , w e ll p r o p o r t io n e d and w e ll n o u r i s h e d . The a u to p s y is being perform ed th r itte n hours a f te r death and fo u r hours a f te r a s p i r a tio n o f about one p in t o f blood from the ju g u la r v e in and in je c tio n o f a b o u t two l i t e r s o f em balm ing f l u i d , i n th e r i g h t s u p r a c la v ic u la r re g io n th e r e i s a f r e s h postm ortem i n c i s i o n e x p o sin g th e r i g h t common,c a r o tid a rte ry and ju g u la r v e in . A tro ch a r i s in se rte d in the ju g u la r v e in . There i s v e ry s l i g h t postm ortem r i g i d i t y of th e r ig h t arm and le g s , b u t the l e f t aim and neck a re q u ite f l a c c i d . The in g u in a l g la d s a re s l i g h t l y e n la r g e d and p a lp a b le . The e p i t r o c h l e a r s a re d i s t i n c t l y n o t p a lp a b le . The s c l e r a s a r e o f a muddy y e llo w is h t i n g e . The c o rn e a s a re clo u d y and show some postm ortem d ry in g . The p u p i ls a re i n d i s t i n c t l y s e e n , a p p e a r e q u a l and m ea su re a b o u t 5 mm i n d i a m e t e r . The t e e t h and gums a r e i n f a i r c o n d i t i o n . T here i s a s l i g h t a b r a s i o n o f th e lo w e r l i p . On b o th w ris ts and both a n k le s th e re are p a r t i a l l y h ealed a b ra sio n s. There is no edem a. The f i n g e r t i p s a re c y a n o t ic . ' The abdom en i s n o t d i s t e n d e d , r i s i n g to a b o u t 4 om below th e c o s t a l m a rg in . The t i s s u e s o f th e abdom inal c a v i t y a re s t i l l w a rn . The ab d o m in al c a v i t y c o n ta in s no f r e e f l u i d . The omentum i s s c a n ty and nowhere a d h e r e n t. The in te s tin e s , p a rtic u la rly the tra n sv e rse colon, are s lig h tly ballooned w ith g a s . The v i s c e r a l p e rito n e u m i s s l i g h t l y c o n g e s te d . The a p p e n d ix is s lig h tly congested, but otherw ise g ro ssly norm al. The s p le e n w eighs 205 g ram s. The c a p s u le i s sm ooth and w r in k le d . The t e x t u r e i s s o f t . The c u t s u r f a c e i s m o is t and o f a pale reddish c o lo r. K* 0017354 #2 The p e r i c a r d i a l f l u i d m easu res a b o u t 10 cc and i s s l i g h t l y c lo u d y and o f a r e d d i s h c o l o r . The p e r ic a r d iu m i s sm ooth and g l i s t e n i n g . On b o th s u r f a c e s o f th e r i ^ i t v e n t r i c l e a lo n g th e r i g h t m a rg in th ere are a few m inute hem orrhagic f o c i. The h e a r t w eighs 390 g ram s. The r i g h t a u r i c l e i s p r a c t i c a l l y em p ty . T here a re no c l o t s i n th e a p p e n d a g e . On th e u p p e r a n te r io r surface of th e r ig h t a u ric le th ere i s a larg e irre g u la r m ilk s p o t. The r i g h t v e n t r i c l e i s p r a c t i c a l l y em pty. The t r i c u s p i d o r i f i c e m e a su re s 13 cm and th e c u s p s show some t h ic k e n i n g o f th e m a r g in s . The r i g h t v e n t r i c l e w a ll a v e r a g e s a b o u t 4 mm i n t h i c k n e s s . The p u lm o n a ry a r t e r y c o n t a i n s no c l o t s . The p u lm o n ary o r i f i c e m e a s u re s 8 .5 cm i n d ia m e te r. The cusps a re g r o s s ly n e g a tiv e . The l e f t a u r i c l e i s em pty. The l e f t v e n t r i c l e i s p r a c t i c a l l y e m p ty . The m i t r a l o r i f i c e m e a su re s 1 0 .5 cm. The l e a f l e t s show some th ic k e n in g o f th e m a rg in s o f th e a n te r io r segment and in the base of the a n te r io r segm ent th ere are a few a th e ro m a to u s p l a q u e s . The l e f t v e n t r i c l e w a ll m e a su re s a b o u t 1 .5 cm i n t h i c k n e s s . The a o r t i c o r i f i c e m e a su re s 8 cm i n c ir c u m f e r e n c e . The c u s p s a r e g r o s s l y n e g a t i v e . The o r i f i c e s and c o r o n a r i e s a r e n o t c o n t r a c t e d . The a scen d in g a o r ta i s marked w ith a few atherom atous p la q u e s . The l e f t lu n g i s n o t a d h e r e n t an d th e l e f t p l e u r a l c a v i t y c o n ta in s o n ly a b o u t 10 cc o f c l e a r r e d d is h s e ro u s f l u i d . The l e f t lu n g 7 /eig h s 575 gram s. The p l e u r a i s sm ooth. The b r o n c h i c o n t a i n a l a r g e am ount o f f r o t h y b lo o d y f l u i d . The m ucosa i s i n t e n s e l y c o n g e s te d . G ro ss s e c tio n s th ro u g h th e lo w er lo b e show extrem e edema and c o n g e stio n , b u t no gross evidence of c o n so lid a tio n . S ectio n s through the upper lobe a lso show m arked edema and c o n g e s tio n . The r i g h t lu n g i s a ls o n o n -a d h e re n t and th e r i g h t p le u r a l c a v i t y c o n t a i n s a b o u t 75 cc o f c l e a r r e d d i s h s e r o u s f l u i d . The r i g h t lu n g w eighs 825 gram s. The b ro n c h i c o n ta in a la rg e amount o f f r o th y b lo o d y f l u i d . The p le u r a i s sm ooth. The m ucosa i s i n t e n s e l y c o n g e s te d . G ross s e c tio n s th rough th e lo w er lo b e show e x te n s iv e c o n g e stio n , edema and in the p o s te rio r p o rtio n s com plete c o n so lid a tio n . S e c tio n s through th e m iddle lo b e show edema and c o n g e s tio n . S e c tio n s th ro u g h th e u p p er ' lo b e show edema and c o n g e s tio n , e x c e p t in th e extrem e a n te r io r b o rd e r. The stom ach c o n ta in s o n ly ab o u t 25cc o f t h in brown clo u d y f l u i d . The m ucosa i s g r o s s l y :no rm al in a p p e a ra n c e . The g a l l b la d d e r c o n ta in s ab o u t 25cc o f th in brown b ile which can e a s i l y be e x p re s s e d th ro u g h th e d u c ts . The p e r i t o n e a l s u r f a c e i s sm ooth. The w a l ls a re t h i n . The lum en c o n ta in s no c o n c r e t i o n s . The mucosa i s co n g ested . The l i v e r w eig h s 1510 g ra m s. The e d g e s a re s h a r p . The c a p su le i s sm ooth. G ross s e c tio n s show a homogeneous c u t s u rfa c e o f a n o r m al r e d d is h brov/n c o lo r . The te x tu r e i s o f norm al c o n s is te n c y . The a d r e n a l s a r e n o rm al i n s i z e and n e g a t iv e on g r o s s s e c t i o n . 0017255 #3 The l e f t k id n e y w eig h s 175 gram s. The l e f t u r e t e r i s n o t d i l a t e d . The c a p s u le i s t h i n , s t r i p s e a s i l y , l e a v i n g a sm ooth s u r f a c e . The c o r t e x a v e r a g e s a b o u t 7 mm i n t h ic k n e s s and i s n o t s h a r p l y dem arkated. from th e m e d u lla . The p e l v i s and c a l i c e s a re n o t d i l a t e d . The b lo o d v e s s e ls a re c o n g e ste d . The p e lv ic f a t i s n o t in c re a s e d . The r i g h t k id n e y w e ig h s 150 gram s and i s o th e r w is e s i m i l a r to the- l e f t . tio n The p a n c r e a s w e ig h s 120 gram s and i s n e g a tiv e on g r o s s s e c - The a o r ta th ro u g h o u t i t s e n t i r e e x te n t shows no g ro s s p a th o - , logy except the atherom ata of the ascending p o rtio n alread y d escrib ed . The b la d d e r c o n ta in s a b o u t 100 cc o f c lo u d y u r i n e . The w a lls a re t h i n . The m ucosa i s p a le and n o t t r a b e c u l a t e d . The p r o s t a t e i s n o rm al i n s i z e and g r o s s l y n e g a t iv e . The se m in a l v e s c ic le s are g r o s s ly n e g a tiv e . The b r a i n 7reighs 1420 gram s and i s n e g a tiv e i n a p p e a ra n c e . G ross s e c tio n s show no m ac ro sc o p ic p a th o lo g y . MICROSCOPICAL STUDY: ' B rain : Sections are e s s e n tia lly negative H e a r t ; No in fla m m a to ry i n f i l t r a t i o n . M uscle t i s s u e ap pa r e n t l y no rma l . Kidney: S ectio n s are e s s e n tia lly n e g a tiv e . Lungs : Extrem e c o n g estio n . A ir c e lls c o n ta in sero u s f lu id and i n c o n s o lid a te d p a r t s many re d blood c e l l s , a few p o ly m o rp h o n u c le a rs and some f i b r i n . The d i s t r i b u t i o n o f th e c o n s o l i d a t e d a r e a s i s p e r i b r o n c h i a l . The a l v e o l a r w a lls a p p e a r to be h y a li n i z e d . The b r o n c h io le s show d e g e n e ra tio n o f" th e m u s c u la tu r e o f th e w a l l s . The e p i t h s l i u m of th e t r a c h e a and la r g e b ro n c h i i s d esq u am ated . The subm uososa i s c o n g e ste d and in te n s e ly i n f i l t r a t e d with; plasm a c e lls and lym phocytes. L iv e r; S lig h t c e n tra l n e c ro sis, s lig h t increase in the con n e c tiv e tis s u e of the p o rta l sh eath es w ith s lig h t lym phocytic in filtra tio n . BATH0L0GLAL SUMMARY: 1. Acute tra c e h o -b ro n c h iti s 2 . Brocho-pneum onia 3. L iver n ecro sis PRINCIPAL CAUSE OF DEATH: Broncho-pneumoni a CIUEE COFTRIEUTORY CAUSES: Trache o-b ro n ch i t is In flu e n z a HRM:U Yours t r u l y , H. B . M i l l s , M. D P athologist Kg 0017257 c TAM PA. FLORIDA 114B E. C A SS STR EET JACKSONVILLE. FLA. 1032 FARK STREET j Lead CERTIFICATE OF ANALYSIS 9,10 p a rts p e r m illio n . d/ f / JL^ t ec.-. _ -, - - .V ' - -" -=>- . A * - - , ... . > '} ,'i^ r: Ke 0017258 W . FR, jC PR E S. V ' V i c e -P r e s .5 W E L L SE C.-TR E AS. THORNTON & COMPANY CHEM ISTS AND EN G IN EERS ANALYSIS - CONSULTATION - RESEARCH TAMPA. FLORIDA A pr il 18, 1936 Laboratory Mark ^ 2 5 5 9 5 Sample of . Date Received For Marks: U r ine A p ril 13* 1936 Dr. L, B, M itch ell None CERTIFICATE OF ANALYSIS >y%y TAM PA. FLORIDA "M 1148 E. CASS STREET \ V - S . '* T jJA C K S O N V IL L E . F L A . . .. 1022 PARK STR EET > ^ -1 am mi m Lead 0.86 parts per m illion zQz t ! 'vlfcr: 0 .6 4 VZj yU t W HE 0017259 ` ^ 11v fy Vy>... V* ,y y - G*'r\ J\ A * y y - ; :a% ; v'<X?-i&'MJ*S- Respectfully Submitted, i (-i v By T h o r n t o n & Co mpa n y ; ai ssi