Marked hypertrophy of the heart in infants and young children, without sufficient anatomic changes at autopsy to explain the hypertrophy on the basis of ordinary pathologico-physiologic processes, has been reported in about twenty cases. Below is the report of a case that we wish to add to the series already recorded.
REFORT OF CASE
History.—D. M., a girl, white, aged 10 months, was admitted to Bryn Mawr Hospital, June 14, 1922. The family history was negative. The father and mother, each in the thirties, were physically healthy. Five other children were living and well. There had been no miscarriages. The patient had been breast fed for less than six months; she had always been puny, but never edematous. Nothing was known about infections.Present Illness.—Until a few days before admission the patient seemed to be in a normal condition. She then became sick and feverish, with a temperature