During the last three years, eighty cases of chronic valvular disease in children have been followed in the cardiac clinic of the Central Free Dispensary of Rush Medical College. Twenty-one of these patients, who have had, on frequent occasions, a slight temperature, ranging from 99.2 to 100.4 F., have been carefully observed for recurring cardiac infections, and the rate of progress of their cardiac disability has been compared with that of the remaining fifty-nine children. The twenty-one reported to the clinic, on the average, once every two weeks. The period of observation varied from four months to three years.
The ages of the twenty-one children ranged from 5 to 12 years. Eight had no particular complaint. They were requested to return to the clinic at frequent intervals because of the temperature findings. The remaining thirteen tired easily, and the majority had poor appetites. Seven complained of an occasional precordial pain.