Acute bacterial endocarditis of the tricuspid valve

Goldburgh, H. II., Baer, S., and Lieber, M, M.: Acute the Tricuspid Valve. Am. J. M. SC. 204: 319, 1942.

Bacterial

Endocarditis

of

The relative incidence of acute bacterial endocarditis of the tricuspid valve was considered. In 26,007 necropsies, 646 cases of acute bacterial endocarditis occurred. The mitral valve alone was involved in 47.6 per cent cases, the aortir valve alone in 25.4 per cent, and the tricuspid alone in 3.1 per cent. Involvement of the right side of the heart whether alone or in combination with other valve lesions, was found in 8.2 per cent cases. Twenty cases in which the endocarditis was restricted to the tricuspid vale-e were studied. Of these 20 cases, nine were due to the pneumococcus. The pneumococcus is more apt to produce right-sided acute bacterial endocarditis, for nine (14.5 per cent) of 62 cases of pneumococcic endocarditis were rest,ricted to the tricuspid valve as contrasted to the 3 per cent of 646 cases mentioned above. Emphasis is placed upon the lack of diagnostic auscultai,ory findings in acute tricuspid bacterial endocarditis. In bnt eight of the twenty cases was mention made of any murmur being heard, and in none of these was the murmur found over the tricuspid area. AvTH~RS.

Galvin, Child

I,. F.:

The Virginia

6: 164,

Program

for

Children

With

Rheumatic

Fever.

The

1942.

The author describes briefly the activities of the Children’s Bureau through Federal aid for cardiac children as a part of the application of the Crippled Children’s Act. The state program in Virginia is well organized and may serve as an example to other states. MccLJIJ>ocll.

Rakov, EI. I,., and out Cutaneous Lesions. Arch.

Acute Disseminated Lupus Erythematosus, WithTaylor, J. S.: Manifestations and With Heretofore Undescribed Pulmonary Int. Med. 70: 88, 1942.

A consideration of the complex clinical disseminatus is combined with the report pronounced pulmonary signs and lesions any time.

manifestations of lupus erythematosus of a case in which the patient exhibited but showed no cutaneous eruptions at AUTHORS.

Schroeder, pertension.

H.

A.: Studies Am. J. M.

on “Essential” 62, 1942.

Hypertension.

IV.

Early

Arterial

Hy-

SC. 204:

Fifty patients exhibiting slight elevation of the blood pressure were studied with a view to ascertaining the varieties of clinical disturbance. Thirty-seven were found to be suffering from various diseases of the kidneys, and 11 others from dysfunctions of the nervous system. In addition, every patient exhibited nervous tension of some degree. In a few cases the onset of hypertension was associated with a definite physical or psychologic disturbance. It is probable in the light of this experience that arterial hypertension is the result of a number of factors, differing in different individuals. AUT~IOFL

Markham,

J. D., and

in Malignant

Bloom,

Hypetiension.

N.:

The Significance *J. Lab.

& Clin.

Med.

of Electrocardiographic 27:

In evaluating the significance of the electrocardiographic hypertension, a tabulation was made of the age at which greatest mortality was in the group 35 to 39 years old.

1156,

Changes

1942.

change’s in malignant each patient died. The The majority of deaths