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Article
January 1939

SPLENECTOMY IN TREATMENT OF PROVED SUBACUTE BACTERIAL ENDOCARDITISREPORT OF A CASE AND REVIEW OF THE LITERATURE

Author Affiliations

Adjunct-Associate in Gynecology PATERSON, N. J.
From the Nathan and Miriam Barnert Memorial Hospital.

Arch Surg. 1939;38(1):139-147. doi:10.1001/archsurg.1939.01200070142011
Abstract

A case of proved subacute bacterial endocarditis in which the condition was treated by splenectomy is herewith reported in detail. The patient is alive and well at the time of writing, more than twenty months after splenectomy. I recognize that twenty months is a short time, but the patient is so completely well that when one considers how hopeless the outlook was only a few months before, the case seems worth reporting.

REVIEW OF LITERATURE  In reviewing the literature I discovered that the effort to alter by splenectomy the insidious course of subacute bacterial endocarditis had been made first in the United States by Riesman,1 then in Europe by Nordmann,2 then in South America by Escudero and Merlo3 and finally in Russia by Sawadski.4 Other sporadic efforts have been reported by the Mayo Clinic,5 by Heilborn,6 by Wieden7 and by Riesman, Kolmer, and

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