Case of Disease of the Heart

1814 The New England Journal of Medicine and Surgery and the Collateral Branches of Science  
surface was covered with a thick, tenacious, whitish matter, resembling an intimate mixture of pus and mucus. With the exception of this substance, this organ was empty. The small intestines discovered signs of slight inflammation. The mesen* teric glands were enlarged, the spleen and pancreas sound. The cavity of the abdomen contained two or three pints of clear yellowish fluid. Cranium. The vessels of the membranes and brain were not unusally distended, and the only circumstance observed,
more » ... tance observed, which requires to be mentioned, was the effusion of serous fluid in considerable quantity into the ventricles. , 1813. DEAR SIR, *take take the liberty to state a case to you, which struck me as one that had not often been detected in so young a subject. Of late, it is true, the attention of the medical world has been much attracted toward the diseases of the heart ; and your labours, Sir, have contributed not a little to produce that effect. The cases related by you and others, have been mostly adults, while the evolution of those diseases in the infantile state has either not been suspected, or has escaped the observation of physicians. From the similarity of the symptoms in the case about to be related, to those I have before met with in practice, I am inclined to think, that diseases of the heart occur much offener in the infant state, than has been suspected. The case alluded to, was an infant four mouths old. From the birth it had been troubled, at times, with a ilillicnliy of breathing, palpitations of the heart, and an increasing cough. Its breathing, when laborious, was accompanied with a peculiar sound. It
doi:10.1056/nejm181401010030105 fatcat:ycst6bgumfdrdjm5fcnqnkjncy