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May 21, 1887

TWO CASES OF MALIGNANT ENDOCARDITIS.Read before the Philadelphia College of Physicians, March 2, 1887.

JAMA. 1887;VIII(21):561-564. doi:10.1001/jama.1887.02391460001001

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Abstract

Both the cases included in this report have been named malignant endocarditis, although one of them is without the warrant of a microscopical examination. The clinical course and microscopical appearances indicate such to have been its true nature, however. I venture to bring it before you thus labelled, to excite criticism, if necessary, and to ask your attention to one of the manifold phases of this interesting disease.

The case was under the observation of Dr. J. Henry Musser, of Lancaster County, and seen by my father, Dr. Benjamin Musser, in consultation. It occurred in their practice in 1878. I recall the case both from conversations and letters concerning it at the time. Unfortunately, the notes of the case in Dr. Musser's possession have been mislaid. His memory and memoranda in his case-book feebly supply the deficiency; fortunately we have the morbid specimens.

Case 1.—Rheumatism; embolism of large vessels; cardiac

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