The _spleen_ showed relatively little reaction and in only two cases was it enlarged. Fourteen times a diagnosis of acute splenitis was made on examination of the gross specimen. This diagnosis rested upon the finding of a swollen spleen with tense capsule and with a dark bulging pulp. The Malpighian bodies were usually in part or completely obliterated, though in a few instances these grayish nodules seemed even larger than normal. These spleens contained an excess of blood within the pulp. In one case several isolated areas appeared hemorrhagic as if a local rupture of the tissues had occurred. The microscopic examination of these specimens showed mainly a marked congestion of the sinusoids, a diminution in the size of the lymphoid corpuscles and some increase in the number of leucocytes within the blood spaces and reticulum. Only occasionally did we observe a proliferative reaction of the large mononuclear cells lying in the reticulum. This proliferation was not sufficiently marked nor uniformly present to be considered as characteristic. We did not find abnormal deposition of blood pigment indicating an unusual destruction of red blood cells within the spleen. It is interesting to note that 5 of the 32 cases showed obsolete miliary tubercles in the spleen. Our analysis of the changes occurring in the _kidney_ bore out the clinical findings observed in the wards. Like in so many acute infectious diseases urinary changes were commonly present. These are in part dependent upon systemic changes in the metabolism of tissues and not entirely the result of renal lesions. In acute epidemic influenza there was no common characteristic in the urinary output. The amount excreted in 24 hours was usually diminished to a small extent, the color was darker, the specific gravity slightly increased, as well as the total solids. There was no marked change in the total quantity of output of any one of the constituents as far as they were analyzed by us. Albumin was present in the urine in variable amounts and in the more severe cases casts were also present. There was only one case in which the quantitative output was much diminished and where some fear was entertained of development of acute uremic manifestations. This individual, however, died before these made their appearance and before there was any evidence that the retention of waste products was causing definite clinical symptoms.