Specimen: Rheumatic Carditis, Pan-Valvulitis

Valvulitis--bacterial or rheumatic?

Streptococcal rheumatic carditis.

INTRODUCTION................................................................... 97 A BRIEF HISTORY .............. .................................................... 98 ETIOLOGY: EVIDENCE FOR THE GROUP A STREPTOCOCCAL ETIOLOGY OF RHEUMATIC FEVER ................................. ................................. 98 Immunological Evidence............................................................

Rheumatic Carditis in Childhood

These remarks are prompted by a survey of four recent autopsies and sixty-five cases seen during the past few years. For my pathological notes I am indebted to Dr. Michell Clarke, Dr. Cecil Williams, and Dr. T. E. Holmes. Of the clinical cases twentyfour are my own out-patients, and the remainder in-patients at St. Mary's Hospital and at the Children's Hospital, Bristol, the notes of which I am...

Sub-clinical rheumatic carditis.

Since the operation of mitral valvotomy was introduced, various attempts have been made to explain the high incidence of histologically active lesions in biopsies of the left atrial appendages removed at operation, in view of the low incidence of active lesions found at necropsy in clinically inactive cases of rheumatic heart disease. Several clinico-pathological studies have been made in biops...

Phonocardiography in acute rheumatic carditis.

The diagnosis of early rheumatic carditis usually depends upon the detection of murmurs produced by acute valvulitis. It may be difficult to evaluate clinically the significance of certain murmurs occurring in patients with rheumatic fever, though the development of a loud apical pansystolic murmur in a patient already under observation usually presents no diagnostic problem. More frequently a ...