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June 13, 1908


Author Affiliations


JAMA. 1908;L(24):1985. doi:10.1001/jama.1908.25310500033003

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The following case is deemed worth reporting, as it suggests a cause of heart block hitherto unrecorded, so far as I know. The case was seen in the practice of Dr. Hombach, of Council Bluffs, Iowa.

History.  —F. E., boy, aged 11, after suffering four days from a severe sore throat, was seen by Dr. Hombach, who found a membrane covering the entire right faucial pillar and tonsil with enlarged glands on the same side. Reaction to antitoxin was prompt, the membrane and lymphatic enlargement disappeared rapidly, and the pulse dropped gradually from 130 to 71 during five days of uneventful convalescence. At 9 a. m. of the ninth day the pulse was 56 and the temperature 98.9. During the night the patient had been restless, vomited, and had complained of pain in his abdomen. At 6 p. m. the pulse fell to 18 and there was an epileptiform convulsion

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