Abstract

Modern notions concerning the influence of focal infections on the production of rheumatism may be responsible for a certain sense of security and of satisfaction with regard to the etiology and classification of this disease. Nevertheless, the subject of chronic infectious arthritis offers great difficulties from the standpoint of both clinical and experimental investigation. The present study was undertaken for the purpose of inquiring into the classification of chronic infectious arthritis, the validity of the idea of focal infection as a cause, and the results of the usual nonspecific shock therapy. It was thought that the investigation of a large number of records in a hospital such as Barnes Hospital might result in finding the answers to these questions, or in finding the refutation of certain notions usually accepted as accurate. Various attempts have been made to classify arthritis, but most classifications are unsatisfactory because the great majority of cases

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