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January 1, 1992

Endocarditis After Acupuncture and Injection—Treatment by a Natural Healer

Author Affiliations

University Hospital of Tromso (Norway)

JAMA. 1992;267(1):56. doi:10.1001/jama.1992.03480010064022

To the Editor.  —Patients with prosthetic heart valves may be unaware of the risk they undergo from minor operations, such as dental procedures. Another risk is from acupuncture.1-3 This treatment, often performed by natural healers, has become increasingly popular in Norway over the past two decades. I have recently seen a patient with a prosthetic heart valve who developed endocarditis.4

Report of a Case.  —A 59-year-old woman had prosthetic heart valves installed because of rheumatic valve disease. Two weeks before hospital admission, she had been given a 2-day treatment by a natural healer because of pains following a minor blow to her head. The treatment consisted of a series of "vi