JAMA. 1897;XXIX(16):808. doi:10.1001/jama.1897.02440420042005.
Text Size: A A A
Published online


While acute articular rheumatism presents the general clinical features of an infectious disease, bacteriologic confirmation is yet wanting. A number of observers have found in the blood, the transudates and the secondary lesions of patients suffering from this disease different micro-organisms to each of which specific etiologic significance has been attached; but the evidence is not of such a nature as to be accepted as conclusive. On the other hand in many instances the results of bacteriologic examination have been of a negative character. Attributing these discrepancies to the use of varying and perhaps unsuitable culture-media Riva of Parma ( Centralblatt für Innere Medicin, Aug. 14, 1897, p. 825) undertook to harmonize the resulting diversity of opinion by using as a culture-medium fluid obtained from the tissues in which it may be supposed that the hypothetic specific micro-organism resides. With this end in view he secured fresh joints from horses, which


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.