The following case is considered to be of interest as it illustrates a somewhat unusual method of the development of malignant endocarditis, the micro-organisms gaining access to the circulation through the ulceration of a chancroid:
—O. W. W., fireman second class, U. S. Navy, was admitted to the U. S. Naval Hospital, Mare Island, Cal., on Dec. 19, 1908, as affected with "chancroid." There was no coexisting gonorrhea.
—The patient was 29 years old, single, had had about ten months' naval service, and had never been on the sick list since enlisting. He was formerly employed as a railroad brakeman. He used alcoholic drinks excessively some years previously; tobacco, moderately. He stated that he had an attack of "typhoid-pneumonia" three years ago and that he had always enjoyed excellent health since that time. He denied any previous venereal history or ever having had rheumatism.
Course of Disease.