Abstract
The rare occurrence and the difficulty of establishing the diagnosis would seem to warrant the reporting of this case of gonorrheal endocarditis. <h3>History.</h3> —Private F., aged 19, admitted to the medical service of the Post Hospital, Plattsburg Barracks, N. Y., Sept. 19, 1917, complained of frequency of urination accompanied by a sense of burning, dull pain in the lumbar region, painful erections, and a profuse, purulent urethral discharge. The patient gave a definite history of exposure seven days prior to admission, and stated that he did not report for the regulation venereal prophylactic treatment. The fourth day after exposure he noticed a swelling of the meatus urinarius, and experienced a stinging sensation on urination. The following day the pain grew worse, and milking of the penis revealed a drop of mucopurulent discharge. Subsequently the discharge became more profuse and purulent, and chordee developed, which established clinically the outward picture of
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