Dr. Richard Miller*: A 65-year-old white man entered Jewish Hospital on May 19, 1967, with chief complaints of fever, chills, and malaise. He had had a suprapubic prostatectomy on Feb 3, and had required 3 units of blood postoperatively. He was discharged one month later with an hematocrit reading of 30%. Fever and chills occurred in late February, again in March, and one week prior to admission. At the time of the third episode the patient had an oral temperature of 103 F (39.4 C). He was treated with chloramphenicol, but continued to have fever and chills. There was no past history of heart disease, heart murmur, or rheumatic fever. There appeared to be a well-documented allergy to penicillin.
Physical examination on admission showed a regular pulse rate of 88 beats per minute, an oral temperature of 100 F (37.8 C), and a blood pressure of 116/68 mm Hg. A
Wessler S, Avioli LV. Enterococcal Endocarditis. JAMA. 1968;204(10):916–921. doi:10.1001/jama.1968.03140230074013
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: