130.
Dr. BALY, Path. Trans., vol. viii.,
p. 325. Drs. BURROWS and BALY. |
Male, 18, Baker. |
Skin has long been dark. Illness above a year. |
Extreme languor, loss of appetite, pain and tenderness in lumbar region,
and over abdomen; headache, delirium, vomiting, yawning,
and great depression; peculiar odour of Negro skin;
two intervals of great improvement; in last relapse, torpor, vomiting,
coldness, albuminuria; before death, blindness, laboured breathing,
jactitation. |
Whole surface bronzed; darkest parts front of neck, areolæ,
scrotum, and penis,
and on abdomen where blisters had formerly been applied. |
Both small, hard, yellow, and nodulated; right capsule mostly firm,
grey, semi-transparent, with a yellow, opaque,
brittle substance in centre of nodules; in left capsule but little grey,
nearly all opaque yellow substance, which in parts was hard and calcareous,
and in one small cavity contained semi-liquid matter. |
A tubercular mass, not larger than a grain of pearl-barley,
in lower lobe of each lung; left pleura adherent throughout;
bronchial glands large. |