Previous to 1826 the existence of cardiac tuberculosis was denied. Tuberculosis of muscle was known to be rare and the heart, with its unceasing contractions, was considered immune. Again, the theory of the natural antagonism between cardiac disease and tuberculosis was almost universally accepted.
Laennec,1 in 1826, in a "Treatise on Auscultation," affirmed the existence of cardiac tuberculosis, assigning to the heart the thirteenth rank among organs affected. He gave no instances. To Townsend2 of Dublin belongs the honor of reporting, in 1832, the first case of myocardial tuberculosis. Others followed at infrequent intervals until in 1865 Haberling3 was able to collect 12 cases, some, however, being of the pericardium only. Sänger,4 in 1878, gathered and classified 22 cases, including 3 of his own and omitting several doubtful ones. This was thorough work and paved the way for all subsequent study of the subject.
ANDERS JM. TUBERCULOSIS OF THE MYOCARDIUM. JAMA. 1902;XXXIX(18):1081–1086. doi:10.1001/jama.1902.52480440001001
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