. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. -^--t4- rra 05 , c^ JTi — ZZC ^1 «T i KII ). ,i. ..?1 . it kit ?i!-. I1- i E O >-< O I 3 1 § S g g « ^(BHVd) aanivyadi-jai . § -1 =3 3 DISEASES OF THE HEART 681 were , ^•OIlliting, and signs of cardiac failure. The lieart did notat first show any enlarged area of dulness. After a few days the leftventricle showed an increased area of dnlness to the extent of 2 to 8 the nipple line (acute dilatation), with diffusion of the apexbeat. The right ventricle was dilated.
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. -^--t4- rra 05 , c^ JTi — ZZC ^1 «T i KII ). ,i. ..?1 . it kit ?i!-. I1- i E O >-< O I 3 1 § S g g « ^(BHVd) aanivyadi-jai . § -1 =3 3 DISEASES OF THE HEART 681 were , ^•OIlliting, and signs of cardiac failure. The lieart did notat first show any enlarged area of dulness. After a few days the leftventricle showed an increased area of dnlness to the extent of 2 to 8 the nipple line (acute dilatation), with diffusion of the apexbeat. The right ventricle was dilated. With the extreme fluctua-tions of temperature the child became delirious. The heart, as at thetime of admission, showed a mitral systolic murmur. After ten dayspetechia? appeared, first on the neck and upper thoracic region, andincreased both in number and extent. The face and eyes becameedematous (cardiac failure). The patient became unconscious and diedin coma with fheyne-Stokes respiratory phenomena. The blooiiwithdrawn during life showed in culture the presence of long Fig. 185.—Fatal septic endocarditis following a pneumonia. Streptococci found in the blood during life. Girl, aged eight years. There are cases of septic endocarditis called by some authorsinfectious endocarditis in which the sj-mptoms are exceedingly mildin contrast with those described abo\e. The patients show fewsubjective sAinptoms, there is an increasing anemia, and theyeven wish to be up and about. AVhile there is some lassitude, thepatients sit up in bed, play with their toys, and are in excellent rises in temperature are irregular, rarely exceeding 103°. A fewpetechise are disco\erable on the orbital conjuncti\ae. There are thephysical signs of endocarditis, such as murmurs and dilatation of the\entricle. These cases show an attenuaterl form of Streptococcus inthe bloofl by repeated culture. Such cases may recover, haveremissions and recrudescences of te
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
