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November 26, 1904


JAMA. 1904;XLIII(22):1635-1636. doi:10.1001/jama.1904.02500220045011

Inflammatory and degenerative processes involving the myocardium are generally thought of in connection with mature or advanced life, but when it is considered that the muscular wall of the heart may be affected in the course of various infective disorders it will be clear that the conditions referred to may occur likewise in children, although often the underlying cause may remain obscure. Attention has been called to this matter by Dr. George Carpenter,1 who has recently reported a case in which uncomplicated myocarditis developed in a girl in her eighth year and was attended with signs of cardiac failure and terminated fatally. No etiologic factor could definitely be ascertained, although it was suspected that the condition had succeeded on an unrecognized diphtheria. The child presented a cyanotic appearance. The pulse was weak at the wrist and the first sound of the heart was not good, while the second at