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Mycotic Aneurysm of Splenic Artery and Spontaneous Rupture of Spleen in Subacute Bacterial Endocarditis

WALTER S. WOOD, M.D.; BUFORD HALL, M.D.

AMA Arch Intern Med. 1954;93(4):633-640.

	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 ASSOCIATION of bacterial endocarditis and mycotic aneurysm has been recognized for over a century. In 1851, Koch¹ described a patient with endocarditis who died suddenly after rupture of a superior mesenteric artery aneurysm. Tufnell² recognized the influence of emboli from valvular vegetations in the development of arterial aneurysms. Osler³ termed these emboli "mycotic" and postulated the significant role of micro-organisms in the production of such aneurysms. In his Gulstonian Lecture on Malignant Endocarditis,⁴ Osier described a case of "ulcerative endocarditis," with multiple small aneurysms involving the aortic arch. In 1887, Eppinger⁵ demonstrated the actual infectious nature of the emboli, applying careful bacteriologic techniques.

We are reporting a patient who recovered from subacute bacterial endocarditis complicated by a ruptured aneurysm of the splenic artery and rupture of the spleen.

REPORT OF A CASE

V. C., 401163, a 30-year-old white housewife, was admitted to the Research and Educational Hospital on March . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Research and Educational Hospitals and the Department of Medicine, University of Illinois College of Medicine.

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