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October 16, 1937


Author Affiliations

New York

From the Medical Service of the Presbyterian Hospital and the College of Physicians and Surgeons, Columbia University.

JAMA. 1937;109(16):1275-1276. doi:10.1001/jama.1937.92780420001009

In a study of the literature we do not find a reported case in which gonococcic septicemia was successfully treated by hyperthermia. We feel that the reporting of any new and safe type of therapy in such a serious complication is warranted.

Many cases of gonococcic septicemia have been reported, but relatively few have yielded positive blood cultures. The septicemia may be of very short duration and be followed by localization in a joint or joints or in a tendon sheath. The gonococcic septicemia that persists may or may not involve the endocardium. The prognosis of any case presenting endocarditis is not good. Thayer,1 in an extensive autopsy study of endocarditis, found that 11 per cent of the cases were due to gonococci. Friedberg2 has recently reported four cases of gonococcic septicemia that have come under his care. Three patients recovered without heart damage and the fourth suffered severe heart damage. All his patients gave positive blood cultures.

The actual reason why septicemia develops in some cases of gonorrhea

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