A day later acute left-sided pneumonia developed, but rapidly subsided.

The left shoulder, knee, and ankle were successively involved in the inflammation, and a cardiac bruit developed.

Finally chorea developed as a complication, limited for a time to the left side, but shortly spreading to the right, where rheumatic inflammation was attacking the joints.

The last, however, quickly subsided, leaving a general, though mild chorea and a permanently damaged heart.
Infibulation of the male and female external genital organs for the prevention of sexual congress is a very ancient custom.

The Romans infibulated their singers to prevent coitus, and consequent change in the voice, and pursued the same practice with their actors and dancers.
According to Celsus, Mercurialis, and others, the gladiators were infibulated to guard against the loss of vigor by sexual excesses.