This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Julio Collazos, MD; Maitena García-Cuevas, MD; Eduardo Martínez, MD; Jose Mayo, MD; Iñaki Lekuona, MD
Vizcaya, Spain

Arch Intern Med. 1996;156(18):2141-2148.

	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 incidence of pneumococcal endocarditis (PE) has decreased from 15% to 20% of all cases of endocarditis in the preantibiotic era to less than 5% after the introduction of penicillin.^1,2 Several case series have underscored the aggressive course of PE, with acute clinical presentation, rapid valvular destruction, and high mortality despite appropriate antibiotic therapy.^1-6 Pneumococcal prosthetic valve endocarditis (PPVE) has been rarely reported. In a literature survey in which we used MEDLINE files dating back to 1965, we found only 3 cases reported in detail.^5,7,8 Two additional cases have been mentioned in series of PE.^2,6 Finally, there were 2 other cases, reported 25 years ago in a series involving prosthetic valve endocarditis, in which this complication developed shortly after valve replacement.⁹ Herein, we present a case of PPVE and review the previously reported cases.

Report of a Case.

A 61-year-old woman presented with high fever, . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?