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H. A. Benson, M.D.
JAMA. 1918;70(21):1524. doi:10.1001/jama.1918.26010210001007.
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The rare occurrence and the difficulty of establishing the diagnosis would seem to warrant the reporting of this case of gonorrheal endocarditis.

History.  —Private F., aged 19, admitted to the medical service of the Post Hospital, Plattsburg Barracks, N. Y., Sept. 19, 1917, complained of frequency of urination accompanied by a sense of burning, dull pain in the lumbar region, painful erections, and a profuse, purulent urethral discharge. The patient gave a definite history of exposure seven days prior to admission, and stated that he did not report for the regulation venereal prophylactic treatment. The fourth day after exposure he noticed a swelling of the meatus urinarius, and experienced a stinging sensation on urination. The following day the pain grew worse, and milking of the penis revealed a drop of mucopurulent discharge. Subsequently the discharge became more profuse and purulent, and chordee developed, which established clinically the outward picture of


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