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October 1, 1967

Acute Salmonella Endocarditis: Report of a Case and Review

Author Affiliations


From the Internal Medicine and Pathology Services, Naval Hospital, Philadelphia. Doctor Schneider is also at the Jefferson Medical College, and Dr. Gold is at the Woman's Medical College of Pennsylvania, Philadelphia.

Arch Intern Med. 1967;120(4):478-482. doi:10.1001/archinte.1967.04410010092013

Nontyphoidal Salmonella endocarditis is a distinctly rare clinical entity. Since 1939 only 23 confirmed cases have been recorded although over 50 have appeared in the literature.1-3 It would appear that endocarditis due to these organisms is more common than myocarditis and pericarditis.4-5 The clinical course of acute bacterial endocarditis due to a nontyphoidal Salmonella, Salmonella type C (thompson) is presented.

Report of a Case  A 56-year-old white hog tender was admitted to the Naval Hospital, Philadelphia on Sept 9, 1965, because of diarrhea of two months' duration. The patient recalled drinking water from a contaminated well shortly before the onset of frequent watery nonbloody bowel movements with chills, fever, tinnitus, blurred vision, and weight loss. Several medications including antibiotics and antispasmodics were given without relief. Medical history and systemic review were unremarkable. Physical examination revealed a cachectic febrile man whose blood pressure was 80/60 mm Hg; pulse rate, 110 beats