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Despite the fact that acute rheumatic fever has become rare almost everywhere in the United States (except in the Salt Lake City area) and in most of the rest of the developed world, interest in this historically important and clinically fascinating disorder is great. This interest is demonstrated by the recent publication of several books on this subject and related topics. Acute rheumatic fever has bestowed a great legacy on many health care institutions. One example is the hospital at which I work, the Children's Memorial Hospital in Chicago, founded by Julia Foster Porter in 1882 after her 13-year-old son,
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