Abstract

In a previous report1observations on the necropsies on eightyseven soldiers who died in active service in France were recorded, reserving for separate study certain features of the pathology of the cardiovascular system. This seemed justifiable because of the relatively large number of cases of acute endocarditis observed. It is no new fact that acute endocarditis may accompany septicemia and pyemia, but surgeons and internists often regard the soldier as resistant to such complications and neglect this possibility in their treatment of the case. The experience of the writer in France has led to the belief that treatment can be successfully modified by a consideration of the changes in myocardium and renal parenchyma which may permanently handicap the soldier in after life. This study was taken up in the hope that light might be thrown on a subject by no means new, but as yet far from being satisfactorily explained.

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