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April 1984

Clostridium perfringens Bacteremia in Prosthetic Valve EndocarditisDiagnosis by Peripheral Blood Smear

Author Affiliations

From the Sections of Infectious Diseases and Microbiology, Instituto Nacional de Ignacio Chāvéz, Mexico City. Dr Alvarez-Elcoro is now with the Quillen-Dishner College of Medicine, Johnson City, Tenn, and the Veterans Administration Medical Center, Mountain Home, Tenn.

Arch Intern Med. 1984;144(4):849-850. doi:10.1001/archinte.1984.00350160219037

• A patient with two prosthetic valves had clinical evidence of infectious endocarditis caused by Clostridium perfringens. The diagnosis was made by routine examination of the peripheral blood smear. To our knowledge, no previous reports have been made of clostridial endocarditis in prosthetic valves with the presence of clostridia in the peripheral blood smear.

(Arch Intern Med 1984;144:849-850)