-In 15 per cent, of our cases the kidneys presented a granular surface, with adhesion of the capsule and other signs of interstitial inflammation, but albuminuria existed in only about one-fifth of them. Occasionally subacute parenchymatous nephritis develops during the course of the gastric complaint, accompanied by general oedema, anaemia, and albuminuria, and terminates fatally by pericarditis or uraemic coma. Uraemic convulsions are often mistaken for evidence of metastases in the brain.
Pneumonia is the immediate cause of death in about 6 per cent, of all cases of gastric cancer. It chiefly occurs during the last stage of the complaint, and usually exhibits a lobular distribution. As a rule its onset is accompanied by a sudden rise of temperature, dyspnoea, and cough, but pain is seldom a subject of complaint and haemoptysis is rarely observed. In many instances delirium is the only symptom. The temperature is very irregular and seldom rises above 103° F. (fig. 34, p. 138), while the signs of pulmonary consolidation often remain latent. Death usually occurs within three days.