August 26, 1899


JAMA. 1899;XXXIII(9):500-508. doi:10.1001/jama.1899.92450610002001a

ENDOCARDITIS.  Aufrecht states that the frequency of acute endocarditis as a complication of pneumonia seems to vary with time and place. He personally has seen but one case. Netter reports 9; Weichselbaum 6, and Sello 6. According to the tables given by Jurgensen, it occurs in 0.2 per cent. of the cases in Vienna and Stockholm; in 0.9 per cent. of the cases in Basel. Sello's 6 cases were in 750 cases of pneumonia, making 0.8 per cent. Banti found 2 cases in 27 autopsies; Netter 2 in 26 autopsies. Netter has had a personal experience with 55 cases of ulcerative endocarditis, of which 23 were due to pneumococcus, and of this 23, 16 were associated with pneumonia.The endocarditis may be either verrucose or ulcerative, but is usually the latter. Any condition which debilitates the patient—alcoholism, pregnancy, and the age between 30 and 60—predisposes to the

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