1906 Journal of the American Medical Association (JAMA)  
count for a pyemia. Malaria could be excluded by the leucocyte count, the character of the cells and the absence of plasmodia. Uncinariasis was considered, but the absence of eosinophiles in the blood and of the ova of the parasite in the stools made this improbable. The development of the hemiplegia just before death strengthened the diagnosis of endocarditis, as the symptom was probably due to an embolus. Autopsy.-A partial autopsy was obtained. This showed the lungs to be free from disease,
more » ... free from disease, except for some old adhesions of the right pleura to the chest wall. The heart was enlarged and both new and old vegetations were present at the mitral valve, one of the new ones being as large as a white bean. The abdominal organs were normal and no latent gallstones were present in the gall bladder. Cultures from the mitral valve were taken. These were examined by Dr. -Harold Brunn in the laboratory of the medical department of the University of California and a pure growth of pneumococctts was found.
doi:10.1001/jama.1906.62510320047003c fatcat:xvz432jw5vfz5gvnktrgjuyxty