Of 150 consecutive adult patients with subacute Streptococcus viridans endocarditis coming to the medical service of the Peter Bent Brigham Hospital in the period March 31, 1913 to Aug. 31, 1939 the majority arrived at the hospital without a correct diagnosis, or the correct diagnosis had been made by a consultant only shortly prior to hospital admission. It was unusual for the correct diagnosis to have been made by the general practitioner in charge of the patient during an illness which already had lasted for several to many weeks. From a study of the records of 150 patients it would seem that relatively few general practitioners are aware of the usual early clinical picture of bacterial endocarditis caused by Str. viridans; their unawareness leads them to fail to suspect the presence of this disease at a time when the correct diagnosis should have been quite obvious, certainly obvious enough to
CHRISTIAN HA. EARLIER DIAGNOSIS OF SUBACUTE STREPTOCOCCUS VIRIDANS ENDOCARDITIS. JAMA. 1941;116(11):1048–1050. doi:10.1001/jama.1941.02820110012004
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