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February 1921

AN ANALYSIS OF TWO-HUNDRED AND FIFTY WARD CASES OF ACUTE ENDOCARDITIS IN CHILDREN

Author Affiliations

Graduate Student in Pediatrics, Harvard Medical School
From the records of the Children's Hospital and of the Massachusetts General Hospital of Boston.

Am J Dis Child. 1921;21(2):139-149. doi:10.1001/archpedi.1921.01910320034003
Abstract

An endeavor is made in this paper to analyze a large series of cases of acute endocarditis treated in hospital wards, not so much for the purpose of imparting new information on a subject already much discussed, but to give briefly the etiology, symptoms, physical findings, treatment and immediate results of the treatment as they were recorded in these 250 cases. Only cases of acute endocarditis are included in this series. There are, however, a number of cases of acute exacerbations of chronic valvular disease which resulted from previous attacks of acute endocarditis. The severity of these cases varied considerably. There are seventy comparatively mild cases, which are grouped together as the "mild group." The remaining 180 cases are placed in the "severe group."

ASSOCIATED CONDITIONS AND PREDISPOSING CAUSES  Age.—Morse,1 Holt2 and Dunn3 state that endocarditis is uncommon before the fifth year. In this series, 24.4 per

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