Sept. 24, 1918, there was admitted to one of the general medical wards of this hospital a soldier who had just come from Camp Dix, N. J., with prisoners. He gave a history of having been sick for three days on the train with headache, rhinitis, general aching, soreness in the chest, and cough. In addition, he presented a well marked pharyngitis. Within twenty-four hours from admission, we were struck with certain unusual features which his case presented. The pulse was slow in proportion to the high temperature. The respiratory rate was greater than physical signs warranted, and the leukocyte count was 4,800. Repeated physical examinations on that day finally revealed a few crepitant râles near the angle of the right scapula. In the afternoon of this second day, cyanosis of the finger tips became noticeable, and an ashy color of the face appeared. The condition in the lung spread