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Updated: May 18, 2025
Colds do not "run into" consumption or pneumonia, but they bear much the same relation to them that good intentions are said to do to the infernal regions. They release the lid of a perfect Pandora's box of distempers tuberculosis, pneumonia, rheumatism, bronchitis, Bright's disease, neuritis, endocarditis. A cold is no longer a joke.
You know the sequel of this complaint. You'll have endocarditis, embolism, thrombosis, metastatic abscesses you know the danger as well as I do." He sank back into his bed laughing. "I take my complaints one at a time, thank you," said he. "I wouldn't be so greedy as to have all those eh, Munro, what? when many another poor devil hasn't got an ache to his back."
Systemic Treatment. As this complication most frequently occurs during acute rheumatism, the question arises as to the value or harmfulness of salicylates and alkaline drugs. While salicylic acid will not prevent endocarditis, it should he continued, if it is of benefit with regard to the arthritis. The indication for its use depends on its effect on the joints.
It would perhaps be better to consider a slow-going inflammatory process subsequent to acute endocarditis as a subacute endocarditis; and an infective process may persist in the endocardium, especially in the region of the valves, for many weeks or perhaps months, with some fever, occasional chills, gradually increasing valvular lesions and more or less general debility and systemic symptoms.
The disease having developed, the indications for treatment are really few; in fact, the treatment is mostly negative. There is generally but little local pain; the temperature from simple endocarditis alone is not high and the acute symptoms tend to abate. Local Treatment.
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