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April 1957

Treatment of Staphylococcic Endocarditis: Report of Seven Cases

Author Affiliations

Emory University, Ga.

Emory University Hospital, Department of Medicine, Emory University School of Medicine.

AMA Arch Intern Med. 1957;99(4):581-586. doi:10.1001/archinte.1957.00260040081009

Staphylococcic endocarditis is a difficult and frustrating therapeutic problem. The increasing number of penicillin-resistant strains,1-4 the development of resistance during the course of therapy, and the fulminating and destructive nature of many staphylococcic infections combine to present the physician with an enormously difficult problem in clinical therapeutics.

While at one time the Staphylococcus was responsible for only 9.5% of all cases of bacterial endocarditis,5 Dowling2 feels that the staphylococcic is now second in frequency only to the streptococcic type.

Results of treatment have not been encouraging. In 1948, Guest and Harrison7 were able to find but 12 instances of successful treatment of endocarditis due to Staphylococcus. Levinson, in 1950, reported 18 patients, with a mortality rate of 66%.1 Dowling,2 in 1952, reported 25 cases treated by penicillin, with a recovery rate of 52%. Fisher et al.8 reported bacteriologic cure of 7 of 13 cases, or 54% survival.

The type and

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