This case report correlates the clinical presentation of Adams-Stokes syndrome with the pathological finding of necrosis in the bundle of His due to arterial thrombosis.
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Associates septicemia-linked Adams-Stokes syndrome with isolated bundle of His necrosis from thrombosis; leaves open generalizability beyond this single case.
We desire to put on record a case of acute epididymitis, probably gonorrheal in origin, leading to septicemic symptoms, in the course of which the Adams-Stokes syndrome appeared fourteen days before death. The autopsy of the heart demonstrated anemic necrosis of the muscular septum in the region of the bundle of His¹consequent on a recent thrombosis of its nutrient arteries. Elsewhere the heart muscle was healthy.
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E. O. JELLICK (1906) studied this question.
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