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1. 1. Only 16 cases of rheumatic fever or chorea occurred among 16,200 medical cases in Miami during a period of eight years. 2. 2. Among 413 patients with organic heart disease seen by the author during the past two years in hospital, clinic, or private practice, 103, or practically 25 per cent were of rheumatic etiology. However, in only 6 instances did the rheumatic disease orginate in southern Florida. 3. 3. Rheumatic heart disease is found with only one-third the frequency among elementary school children born in Miami that it is found in children born in the North who have taken up residence in Miami. 4. 4. There is evidence that patients with active rheumatic heart disease improve at a more rapid rate if moved to southern Florida from northern climates during the cold months.

Instances of infection of the aorta by the gonococcus are quite rare, only nine cases being found in a recent search of the literature by Aschner.1 The present case is reported because of the unique combination of a multilocular aneurysm of the aorta with acute vegetative gonococcus aortitis and congenitally bicuspid aortic valve with acute vegetative gonococcus endocarditis.