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Article
September 24, 1910

A CASE OF DIFFUSE, PURULENT, VENTRIC-ULO-SEPTAL MYOCARDITIS WITH ADAMS-STOKES' SYNDROME

Author Affiliations

BALTIMORE

From the Medical and Pathological Departments of the College of Physicians and Surgeons, and the Bacteriological Laboratory of the City and State Boards of Health, Baltimore.

JAMA. 1910;55(13):1065-1069. doi:10.1001/jama.1910.04330130001001
Abstract

The subject of suppurative myocarditis has received some attention from ancient writers, since Whittaker1 states that Galen described this malady in gladiators and Benevenus and Bonetus have also described abscesses in the walls of the heart. Later, Laennec and Meckel cited similar cases.

These cases of suppurative myocarditis are called "myocarditis purulenta" by Aschoff,2 who shows that they are usually produced by ulcerative endocarditis, intracardiac thrombosis, pericarditis and septic infarction and abscess formation in cases of general pyemia. It will be seen that these purulent infiltrations or abscesses in the heart muscle are secondary processes caused by an antecedent infection. The case we shall later describe is a primary condition and cannot, therefore, be compared to the above mentioned processes.

The condition known as acute interstitial myocarditis, which follows such infectious diseases as diphtheria, scarlet fever and rheumatism, first described by von Hayen,3 also differs from our

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