SIGHTINGS



Rheumatic Fever
Likely Cause Of
Mozart's Death
link
2-11-2000
 
 
NEW YORK (Reuters Health) -- Archived statements from composer Wolfgang Amadeus Mozart's doctor and family plus historical accounts of 18th century epidemics in Europe suggest that Mozart died of rheumatic fever, according to Dr. Faith T. Fitzgerald of the University of California, Davis.
 
Rheumatic fever is an inflammatory disease involving the joints and heart. It occurs when the immune system strongly reacts to infection with strep bacteria.
 
``About 118 diagnoses have been proposed since Mozart's death,'' Fitzgerald said, including poisoning, murder, syphilis, and kidney failure. She presented her diagnosis Friday at the Sixth Annual Clinical Pathologic Conference in Baltimore, Maryland.
 
Late in 1791, during a fever epidemic, Mozart suddenly developed a high fever, headache, sweats, and severe swelling and pain in his hands and feet, Fitzgerald told Reuters Health in an interview.
 
Two weeks later Mozart's entire body swelled and he developed nausea, vomiting, diarrhea, and a persistent rash. Fifteen days after becoming ill, Mozart convulsed, went into a coma, and died, Fitzgerald explained.
 
Her investigation revealed that Mozart had at least two bouts with rheumatic fever as a child. This medical history and ''recurrent sore throats and tonsillitis indicate he may have had recurring streptococcus infections, which creates a major predisposition to heart failure,'' she told Reuters Health.
 
``If Mozart's body swelling was caused by heart failure then he had carditis,'' or inflammation of the heart, Fitzgerald said. Taking into account Mozart's symptoms and prior illnesses, Fitzgerald noted that Mozart met most of the criteria for a diagnosis of rheumatic fever.
 
``And finally, there's Mozart's sudden distaste for the singing of his pet canary. Irritability is a classic symptoms of rheumatic fever,'' she noted in a statement.
 
``Because Mozart was a great and famous man, we tend to look for an extraordinary cause of death,'' Fitzgerald added. ``In fact, the clues point to an illness that was a common killer in Mozart's time.''
 
The professor noted that the availability of antibiotics has made rheumatic fever rare in the US, but ``it continues to be a threat in underdeveloped countries.''
 
There is no way to definitively know exactly what caused Mozart's death, Fitzgerald said. Clinical pathological conferences are a common way to teach clinical thinking. Examining notorious cases of the past ``is extremely valuable for doctors, medical students, and the general public because it teaches skeptical inquiry and it's fun,'' she told Reuters Health.
 
``Who knows of what Mozart died,'' Fitzgerald said. ``Maybe the celestial choir just wanted someone of merit to match their glory.''
 
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