Abstract
Acute articular rheumatism is now generally regarded as an infectious disease but much confusion exists as to the nature of the infecting microorganism. Poynton and Payne and others have found that there is present in the periarticular structures and joints in rheumatism a coccus (Micrococcus rheumaticus) which, when injected into rabbits, produces lesions very similar to those of rheumatism in man. Many attempts to isolate this particular organism in acute rheumatism however, have failed, and the question of the etiology of the disease is not settled, although it must be emphasized that many clinical and experimental facts indicate that it concerns streptococci of some kind. The etiology of muscular rheumatism or rheumatic myositis on the other hand is unknown. It is true that the clinical facts suggest that the cause of this affection is identical with that of acute articular rheumatism, but all experimental evidence is, as far as can
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More From: JAMA: The Journal of the American Medical Association
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