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January 1983

Hemophilus Endocarditis: Two Patients With Complications

Author Affiliations

From the Department of Internal Medicine (Drs Parker and Fuller), University of Nevada School of Medicine, Reno; and the Division of Infectious Diseases, Department of Medicine, State University of New York School of Medicine, Buffalo (Dr Apicella). Dr Parker is now with the State University of New York School of Medicine, Buffalo, NY.

Arch Intern Med. 1983;143(1):48-51. doi:10.1001/archinte.1983.00350010050010

• Two cases of Hemophilus endocarditis were diagnosed in our hospital during a six-month period. Although both patients were in good health until the onset of their endocarditis, both had brain emboli and required emergency heart-valve surgery. Falsely low incidences of this disease have been reported, since Hemophilus sp are difficult to isolate. Additionally, these organisms are consistently associated with large vegetations and have a greater than 50% incidence of embolization. It is this higher incidence of embolization that leads us to conclude that prophylactic surgery should be considered in selected patients.

(Arch Intern Med 1983;143:48-51)