The case is now going to deal, is one of those who seem vulgar for its ostensible appearance, but really strange, because it is a rarity among us; at least it is the first time we have the opportunity to observe and said by the way, are still not very numerous specimens of this species in the scientific literature.

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The pathogenic significance of chronic coronary lesions, at the time unknown Laennec and Cruveihier light starts Quain (1850). - Skepticism Stokes to This - Most contemporary authors agree otherwise and develop the view Quain, but confused interstitial fatty infiltration and fatty degeneration of the muscle fibers.

Carrion's fever, or severe fever Carrion is the most interesting chapter of the disease we are studying. Very dark data we have about the nature, etiology, symptoms and ways to combat it, have been and continue to be serious doubts and hottest controversies.

Lesson unpublished, issued in 1917 by Dr. Ernesto Odiozola, Dean and Professor of Clinical Medicine, Faculty of Medicine.

In the session of the "National Academy of Medicine" on August 4, of last year, Dr. Carlos Monge, noted one case of encephalitis lethargica observed by him in his private practice, and myself doing the same indication, in a patient of his service "Dos de Mayo" whose history, gathered by our hospital chief Dr. CARLOS BAMBAREN clinic is fairly complete and well documented, so it is worth analyzing and collecting the teachings derived from she. The fact that it is a topical issue and having the said disease made ​​its appearance in the field of nosology, during the last epidemic of grippe, he printed importance and practical interest awakens first order.

Some of you know if we will now occupy. It has made memorable not only for the exciting and primitively misleading statements that were stated in his brief stay in this room, but for the truly unusual phenomena that all could see and especially for the originality of the changes we have been surprised at autopsy . Issues like this are not seen but rarely in life and for this reason, I wanted to collect all the elements that allow it to do a complete study.

In this inaugural lecture, I intend to make the study of a patient, which for us is of greater importance, in that it is a disease that reigns in our mountains as endemic. assume periodic exacerbations presenting characters epidemics, often violent and deadly. Sick of that I will deal has had an attack of typhus. The year 1856, when yellow fever swept our coast, was also developed extensive typhus epidemic in our mountains, which caused heavy casualties. Some professionals, including the British Medical ARCHIBALDO SCMITH, argued that this trans-epidemic, was none other than the yellow fever that had suddenly appeared on our coast. For this reason, we undertook a lively discussion to unravel the nature of the epidemic, being subsequently shown that yellow fever was not only typhus. Unfortunately this error has been perpetuated and many authors of scientific notoriety executed, entered it,...

Our distinguished friend, Dr. M GONZALEZ OLAECHEA has had the finesse to send the patient who is now going to deal. Needless to add them I think we sent him his just and comprehensive diagnostic label. Being a special clinical category and item are sick deserves a lengthy study because the interest is apparent contemplation give presents multiple diagnoses postulates that it is essential to analyze, to go back to the real cause now shines univocal thanks to the great progress of endocrinology.

You know the patient occupied bed No. 32 in our room. It is not, in this case, an extraordinary indeed sick; but their knowledge is very useful, because the purpose of the chair of clinic here and elsewhere, should be to study the common sick, ie those with whom we have to stumble daily and constitute therefore, the main element of ordinary practice, doctors must know thoroughly and in detail.

Today we, lords, to deal with a very unique case, in the course of his illness, somewhat uneven, moreover, has emerged a strange and almost tragic accident, forcing him to go into hospital. If we contemplate it that accident, in its abstractness, say so, rejecting the view of its retrospective projections in regard to causality, would be making a grave mistake nosological, whose influence would be felt in the future of this subject and distorted the legitimate interpretation of its pathogenesis. The matter without creating us be handed to the ravages of a fierce controversy is worthy of clinical unfoldments interesting, since other phenomena that clarify the nature of the process and put a significant note in his nature there

By one of those coincidences that happen so often in the course of the clinic, he touches us today, opening our work this year, exactly comparable study a patient who served us last year at the same opportunity. If any of the gentlemen who now hear me, saw that sick, continued its evolution and regarded the anatomical parts of it were removed, agree on that almost perfect objective similarity, which makes this a very interesting clinical case example, waking the most lively curiosity and the precise diagnosis is not as easy as one might think. Already in the lesson last year, I said that these cases are not uncommon between us and the speaker had occasion to observe about twenty. The appearance of them is almost always more or less similar, and their death, with one exception, is invariably inexorable, but not worth the possible remedial early diagnosis, and the wonderful advances in sur...