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ALBERT L. BRAUNSTEIN, M.D.; STUART R. TOWNSEND, M.D.

Arch Intern Med. 1940;65(5):957-987.

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

Though syphilitic aortic valvulitis and vegetative bacterial endocarditis are well established separate clinicopathologic entities, the concomitant occurrence of the two processes on the same valve has been regarded as extremely rare,¹ and relatively little has been written on this subject. In 1920 Libman² remarked on the infrequency with which bacterial endocarditis attacked valves previously altered by a syphilitic process. Thayer's³ excellent monograph on infective endocarditis gives the impression that the cases of simultaneous syphilitic and bacterial aortic valvular involvement mentioned (i. e., 4 certain cases and 2 doubtful ones) are admitted reluctantly and with a skepticism that such combinations occur. Blumer,⁴ Gross and Fried⁵ and Levine⁶ likewise merely mention 1 case each but give no further details. Review of the literature has yielded only 11 proved cases.⁷ Despite this paucity of material, we have come to think that bacterial endocarditis engrafted on syphilitic aortic valves, though not nearly as common . . . [Full Text PDF of this Article]

Author Affiliations
Resident Pathologist, Baltimore City Hospitals BALTIMORE; Senior Assistant in Medicine, Montreal General Hospital MONTREAL, CANADAN

From the Department of Pathology and the Department of Medicine, Baltimore City Hospitals.

Footnotes
Read by title before the American Society for Clinical Investigation, Atlantic City, N. J., May 1, 1939.

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