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The treatment of syphilitic myocarditis and aortitis by means of salvarsan is, according to Meyer, not always devoid of harm, and may lead to unpleasant consequences through the development of the Herxheimer reaction. He advises that patients having aortic and cardiac syphilis be given a milder form of antisyphilitic treatment in the form of a "Schmierkur", or intramuscular injections of bismuth, or by internal medication with iodide. When salvarsan is used it should not exceed 5-6 g. for the total amount employed. The treatment should be intermittent and extended over prolonged periods. R. Fischer (Wien. Klin. Wschr., 1930) believes that
The Treatment of Cardiac and Aortic Syphilis.. Ann Intern Med. ;4:507–508. doi: 10.7326/0003-4819-4-5-507_3
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Published: Ann Intern Med. 1930;4(5):507-508.
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