Acute Salmonella endocarditis. Report of a case and review

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