This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (9)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

DAVID F. CROSS, MD; JOSEPH G. ELLIS, MD

Arch Intern Med. 1966;118(6):588-591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DIGITAL phenomena occurring in bacterial infections, and particularly celebrated in subacute bacterial endocarditis, have fascinated physicians for 75 years. Petechiae, splinter hemorrhages, and Osler's nodes are the more commonly known and looked for manifestations which now, as in the past, have pointed to the heart as the source of infection.¹ The Janeway lesion ² is as old and considered as pathognomonic of endocarditis ³ as the Osler's node, but it is less well known and much less commonly identified.

This paper reports the multiple digital manifestations observed in two patients with Pseudomonas infections involving the brachial arterial wall and particularly the occurrence of the Janeway lesion.

Report of Cases

CASE 1.

—A 58-year-old house painter underwent selective celiac-axis angiography because of abdominal pain. A left antecubital cut down with brachial arteriotomy was used to introduce the angiographic catheter. The vessel was closed with 5-0 silk sutures and the . . . [Full Text PDF of this Article]

Author Affiliations
LA JOLLA, CALIF

From the Institute for Cardiopulmonary Diseases, Scripps Clinic and Research Foundation, La Jolla. Drs. Cross and Ellis are Fellows in Cardiology and National Institutes of Health trainees.

Footnotes
Received for publication June 20, 1966; accepted Aug 9.

Reprint requests to Scripps Clinic and Research Foundation, La Jolla, Calif 92037 (Dr. Ellis).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?