A patient with a long history of abdominal surgery and recurrent fevers finally exhibited gross hematuria, oliguria, nitrogen retention, and other symptoms and signs of uremia. Before death a loud pericardial rub was noted and a severe melena appeared. Significant findings at autopsy were limited to the heart, kidneys, and cecum; the diagnoses were subacute vegetative endocarditis superimposed on an old rheumatic valvulitis, petechiasis of the cecum, and subacute diffuse glomerulonephritis. Diffuse glomerulonephritis is relatively infrequent as a complication of subacute bacterial endocarditis.
Flood FB, Boller RJ. DIFFUSE GLOMERULONEPHRITIS AS A COMPLICATION OF SUBACUTE BACTERIAL ENDOCARDITIS. JAMA. 1958;167(6):701-703. doi:10.1001/jama.1958.02990230027004