This case is reported because it presents two uncommon and interesting conditions in the same child, namely, aortic stenosis of rheumatic origin and embolic gangrene of the right hand.
REPORT OF CASE
A boy, aged 7 years and 11 months, was admitted to the Post-Graduate Hospital on Nov. 25, 1927, for tonsillectomy and adenoidectomy. The past history was irrelevant, except for frequent sore throats over a period of three years. On physical examination the tonsils were hypertrophied, and the heart presented a blowing systolic murmur that was not transmitted and the maximum intensity of which was at the third interspace at the left border of the sternum. There were no subjective symptoms. Owing to an epidemic of sore throat in the wards, the patient was not operated on.He was readmitted to the hospital on Jan. 30, 1928, with dyspnea as the chief complaint. On close questioning, a history of