Observations ON THE NATURE AND SYMPTOMS OF CARDIAC INFECTION IN CHILDHOOD

THE MITRAL VALVE.THE commencenment of rlheuinmatic endocarditis of the mitral valve is botind up witlh the early acute dilatation of the heart, and the symptoms are very few.There need be no pain, and fever is not essential.An increase in the rate of tlle pulse, sonme breatlhlessness and possibly palpitation, if thie chiild is not confined to bed, are suspi-cious, but these are duie to the myocardial weakness rather than to the valvular disease.