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August 18, 1975

Bacterial EndocarditisOccurrence on a Traumatically Ruptured Aortic Valve

Author Affiliations

From the cardiology (Drs. Morgan and Glasser) and pathology (Dr. Sanusi) services, Confederate Memorial Medical Center, Shreveport, La.

JAMA. 1975;233(7):810-811. doi:10.1001/jama.1975.03260070068027

ALTHOUGH it is well known that infective endocarditis occurs on previously diseased heart valves, we were unable to find any reports in the English-language literature of infective endocarditis occurring subsequent to traumatically induced aortic regurgitation. We report a probable case of this entity, which we believe is an important one to consider, since proper modern-day antibiotic prophylaxis or treatment has changed the course of infective endocarditis.

Report of a Case  A 56-year-old man was admitted on Feb 4, 1973, with complaints of inability to sleep, increasing shortness of breath for two weeks, and inability to move the left side of his body since the previous evening. Several weeks before admission, he had been treated at another hospital for congestive heart failure with digitalis and diuretics, but continued to have shortness of breath and occasional epigastric and chest pains after discharge. He was in good health until December 1967, when he