Abstract
Sufficient data are presented to indicate the pathologic entity of rheumatic pneumonitis and its position of importance as an outstanding cause of death in rheumatic fever, either primarily or secondarily. In each of the five autopsied cases, there was sufficiently severe and widespread pulmonary involvement to suggest that the pneumonitis led the way to the fatal termination, either by impairment of the respiratory system alone, or by further adding to the load of an already dangerously impaired cardiac mechanism. If, as Stewart has said, the danger of bacterial pneumonia is such an acute one as a precipitating factor in heart failure, how much more perilous is the existence of a severe involvement which appears to be part and parcel of the rheumatic picture as a whole.
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