The Medical Diseases of Infancy And Childhood With Points On the Anatomy Physi

Cover The Medical Diseases of Infancy And Childhood With Points On the Anatomy Physi
The Medical Diseases of Infancy And Childhood With Points On the Anatomy Physi
Alfred Cleveland Cotton
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Acute dilatation of the left ventricle in the course of infectious dis- eases, as diphtheria, scarlet and typhoid fevers, and also during attacks of endo- and pericarditis, has long been recognized as a grave complica- tion or sequel. The frequent increase in the area of cardiac dulness with the signs of developing relative mitral insufficiency in acute febrile disorders, confirms the growing belief that the heart muscle rarely escapes the deteriorating effects of the systemic invasion of patho
...genic bacteria or their toxins. That the left ventricle should be the most frequent seat 304 DISEASES OF THE HEART of these inflammatory or degenerative lesions is due to its greater activ- ity. Occasionally the right heart first yields, as in pertussis and pneu- monia, emphasizing this same principle.
Post-mortems show the heart to be pale, flabby, and usually enlarged. It may present mottled areas of gray or yellow, interspersed with pale or normal tissue. Whitish streaks or fibrinous plaques appear beneath the endo- or pericardium, also islands of hypertrophied tissue are seen squeezed forward by surrounding zones of contracting fibrosis, pro- ducing a polypoid effect upon the cardiac intima.


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