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December 1, 1951


Author Affiliations

Wilkes-Barre, Pa.

From the Medical Service of the Wilkes-Barre General Hospital.

JAMA. 1951;147(14):1344-1347. doi:10.1001/jama.1951.73670310003012b

Within the past few years, several cases of mycotic endocarditis have been reported, as well as one case of blood stream invasion in which treatment with sulfonamides and penicillin was unsuccessful.1 Because of the rarity of this condition and because of several other interesting factors, we feel that this case is worth reporting.


History.—  Mrs. F. G., 57, a housewife, separated from her husband, was admitted to the medical service of the Wilkes-Barre General Hospital on Sept. 2, 1949, because of nausea, vomiting, chills, and fever of two days' duration. Prior to this, she had been feeling ill; she stated she had had a cold with cough and lack of appetite. She was a known diabetic since January, 1949, and the diabetes was controlled on 15 units of protamine zinc insulin and 30 units of regular insulin daily. When she became ill, she took only 15