We desire to put on record a case of acute epididymitis, probably gonorrheal in origin, leading to septicemic symptoms, in the course of which the Adams-Stokes syndrome appeared fourteen days before death. The autopsy of the heart demonstrated anemic necrosis of the muscular septum in the region of the bundle of His1 consequent on a recent thrombosis of its nutrient arteries. Elsewhere the heart muscle was healthy.
JELLICK EO, COOPER CM, OPHULS W. THE ADAMS-STOKES SYNDROME AND THE BUNDLE OF HIS.. JAMA. 1906;XLVI(13):955. doi:10.1001/jama.1906.62510400033003b