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Thrombocytopenia not infrequently accompanies canada any severe generalized infection in the newborn and, like the congenital rubella syndrome, may offer a diagnostic clue. I might interpolate here a fact to which we will refer when discussing certain aspects of take valvular disease, namely, that in tricuspid disease the sternum is often tender, and that in the presence of marked dyspnea the sternum is less apt to be sensitive. En - hell maintains that with our present means of investigation, the bacteria of contagious pleuro-pneumonia cannot be differentiated from the pyogenic streptococci or from the streptacoccus of erysipelas In fact, Hell believes that the streptococcus of Schiitz has a pathogenic effect in horses affected with pleuro-pneumonia; but as there is no positive proof of its being specific, he maintains that we are justified in supposing that this ubiquitous microorganism simply has an injurious influence on the course of.the disease, contributing to the production of the secondary lesions. I am sure I have seen children born from such rezept women presenting all the general appearances peculiar to the disease, and within a week or two after birth having distinct paroxysms.

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Ontario - notwithstanding that the belief to a certain extent in the syphilitic character of the disease is disavowed, it is but just to give as near as possible the results of investigations on the subject, although they seem to point to some hereditary taint of the kind.