Medical ArticlesThroat Hoarseness
This is best treated by a good large BRAN POULTICE (see) on th...
The Cause Of Disease
Ever since natural medicine arose in opposition to the violen...
Health And Money
It will be noticed that the remedies we recommend are in almos...
Congenital And Pathological Deformities Of The Prepuce And Urethra Stricture And Mechanical Obstructions Of The Urethra
When any of the central organs of the body presents in a fo...
Eyes Accidents To
Three distinct classes of these are to be considered. They req...
The need for this is often indicated by irritability of temper...
See Nostrils. ...
For traumatic trismus, use the B D current, of vigorous force...
Baths And Bathing
Bathing as a Means of Cleanliness. It has been said that one ...
Nose Bleed - Epistaxis
If it arises from fullness of the vessels of the head, with t...
Mechanical Problems Of Bronchoscopic Foreign Body Extraction*
* For more extensive consideration of mechanical problems...
Giddiness And Trembling
This comes very often as the result of loss of nerve power in ...
Almost hopeless. Emetic; artificial respiration. ...
The Nerves In The Skin
How We Tell Things from Touch, and Feel Heat and Cold and Pai...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Consumption Treatment Of
Turning now to the case when consumption has actually shown it...
During the years it takes for a body to degenerate enough to ...
In a variety of cases, more or less severe spasmodic pains are...
TO argue with nervous anxiety, either in ourselves or...
See Head, Soaping. ...
Malignant Endocarditis Ulcerative Endocarditis
Source: Disturbances Of The Heart
Since we have learned that bacteria are probably at the bottom of
almost any endocarditis, the terms suggested under the
classification of endocarditis as "mild" and "malignant" really
represent a better understanding of this disease. They are not
separate entities, and a mild endocarditis may become an ulcerative
endocarditis with malignant symptoms. On the other hand, malignant
endocarditis may apparently develop de novo. Still, if the cause is
carefully sought there will generally be found a source of
infection, a septic process somewhere, possibly a gonorrhea, a
septic tonsil or even a pyorrhea alveolaris. Septic uterine
disturbances have long been known to be a source of this disease.
Meningitis, pneumonia, diphtheria, typhoid fever and rarely
rheumatism may all cause this severe form of endocarditis.
Ulcerative endocarditis was first described by Kirkes in 1851, was
later shown to be a distinctive type of endocarditis by Charcot and
Virchow, and finally was thoroughly described by Osler in 1885.
Ulcerative endocarditis was for a long time believed to be
inevitably fatal; it is now known that a small proportion of
patients with this disease recover. Children occasionally suffer
from it, but it is generally a disease of middle adult life. Chorea
may bear an apparent causal relation to it in rare instances.
Ulcerative endocarditis may develop on a mild endocarditis, with
disintegration of tissue and deep points of erosion, and there may
be little pockets of pus or little abscesses in the muscle tissue.
If such a process advances far, of course the prognosis is
absolutely dire. If the ulcerations, though formed, soon begin to
heal, especially in rheumatism, the prognosis may be good, as far as
the immediate future is concerned. If the process becomes septic, or
if there is a serious septic reason for the endocarditis, the
outlook is hopeless. This form of endocarditis is generally
accompanied by a bacteremia, and the causative germs may be
recovered from the blood. One of the most frequent is the
Previous: Prognosis And Convalescence