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CPT John Rigilano, MC; Rajat Mahapatra, MD; MAJ James Barnhill, MC; MAJ Jose Gutierrez, MC

Arch Intern Med. 1984;144(4):850-851.

Abstract
• There is considerable controversy regarding antimicrobial prophylaxis against infective endocarditis for routine sigmoidoscopy without biopsy in patients with underlying valvular heart disease. Sigmoidoscopy is known to produce brief, low-grade bacteremia in some patients. Persons with mitral valve prolapse (MVP) may be at risk of infective endocarditis developing during transient bacteremia. We describe a 67-year-old man with known MVP in whom enterococcal endocarditis developed following routine sigmoidoscopy. We believe this to be the first such reported case.

(Arch Intern Med 1984;144:850-851)

Author Affiliations
USAF; USAF; USAF

From the Department of Medicine, US Air Force Regional Hospital Carswell, Fort Worth, Tex.

Footnotes
Accepted for publication Sept 6, 1983.

The views expressed herein are those of the authors and do not necessarily reflect the views of the US Air Force or the Department of Defense.

Reprint requests to USAF Regional Hospital Carswell, Carswell AFB, Fort Worth, TX 76127 (Dr Mahapatra).

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