394 DISEASES OF THE HEART. 



tent fever. A correct opinion can hardly be formed in such a case 

 of infecting endocarditis, if the primary disease which is itself in- 

 fectious, a puerperal fever for example obscures the character of 

 the attack by causing metastatic abscesses, and when the physical 

 signs of enlargement displacement of the heart and the diastolic 

 murmurs are hard to make out. While it is rarely that the ordi- 

 nary endocarditis ends directly in death, the ulcerous form always 

 terminates fatally. 



6. P. 371. 



Observations by JacJcsch and Gerhardt make it seem probable 

 that in rare instances portions of a valve which have escaped the 

 disease may by consecutive extension of themselves cure the insuf- 

 ficiency ; but such a rarity is not to be counted upon, and we can 

 do nothing to bring it about. 



