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In a fourth case there was evidence of more or less cystic degeneration; "missed dose of plavix" and finally, in the fifth case the gland was replaced by a dense mass of fibrous tissue retaining the form of the gland, with a fewheaps of epithelial cells representing the original vesicles. Not infrequently there is broncho-pneumonia, and lobar pneumonia is far more common than in typhus, and sometimes passes on to gangrene:
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