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ACUTE ENDOCARDITIS IN INFANCY AND EARLY CHILDHOOD

DUNCAN MACAULAY, B.Sc., M.D., M.R.C.P. (LOND.), D.C.H.
AMA Am J Dis Child. 1954;88(6):715-731. doi:10.1001/archpedi.1954.02050100717003.
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ACUTE ENDOCARDITIS is uncommon in early childhood and especially so in infancy. The purpose of this paper is to report in detail a case occurring in a newborn infant, to give an account of 13 others in children under age of 2 years, and to review the literature.

REPORT OF CASE IN A NEWBORN  A healthy woman aged 21 years was delivered of her first child on May 30, 1952. Delivery was normal, and the infant, a girl, weighed 8 lb. 6 oz. (3,800 gm.) at birth. She was routinely examined on the second day and presented no evidence of any abnormality. Breast feeding was instituted, and progress was satisfactory until the evening of the seventh day. She then vomited several times and was found to have a rectal temperature of 102.6 F. Examination showed a distended abdomen, with palpable liver and spleen. The terminal phalanx of the left thumb

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