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Donald Belcher, MD; Marvin Turck, MD

Arch Intern Med. 1967;119(2):198-201.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE INTERESTING hemodynamic effects which may be produced by large abnormal communications between arteries and veins long have held the interest of physicians. More recently it has been recognized that bacteremia and a clinical picture indistinguishable from bacterial endocarditis can result when an arteriovenous (AV) communication becomes infected.¹ The case to be reported is of interest from several points of view: (1) it involved an AV fistula between the renal artery and inferior vena cava, a rather unusual location; (2) the mode of presentation was confusing; (3) the patient provided a number of clinical clues which finally led to the correct diagnosis; (4) treatment was successful.

Report of Case

A 36-year-old male professional gambler was admitted to the King County Hospital on Feb 26, 1965. Two weeks prior to admission he had developed fever and malaise. Twenty-one months earlier, during a game of cards, he had sustained a gunshot . . . [Full Text PDF of this Article]

Author Affiliations
Seattle

From the Department of Medicine, University of Washington School of Medicine, and King County Hospital, Seattle.

Footnotes
Received for publication Aug 25, 1966; accepted, Oct 20.

Reprint requests to Division of Infectious Diseases, King County Hospital, 325 9th Ave, Seattle 98104 (Dr. Turck).

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