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Case Reports
June 1930

ACUTE BACTERIAL ENDOCARDITIS IN INFANCYA REVIEW OF THE LITERATURE AND REPORT OF A CASE IN A FIVE WEEKS OLD INFANT

Author Affiliations

ST. PAUL; Fellow in Surgery, the Mayo Foundation ROCHESTER, MINN.
From the Departments of Pediatrics and Pathology, the University of Minnesota.

Am J Dis Child. 1930;39(6):1261-1267. doi:10.1001/archpedi.1930.01930180111010
Abstract

To the pediatrician, infantile endocarditis is considered a rare condition, its rarity being reflected in the views of various observers. According to Finkelstein,1 "Endocarditis is so extraordinarily seldom seen that it would seem that the endocardium of the infant is possessed of definite immunity." Morse2 contended that acute endocarditis seldom if ever develops during the first three years of life. Still3 said: "The possibility of acquired simple endocarditis in a child under two years of age can be almost excluded on account of the fact that simple endocarditis almost invariably follows articular rheumatism which hardly ever occurs under three years of age and almost never under two."

REVIEW OF THE LITERATURE  After reviewing the literature, we are inclined to weigh with considerable merit the views of the aforementioned observers, as we were able to find only five cases in infants under 7 months of age.The case

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