Subacute Bacterial Endocarditis Presenting as a Subarachnoid Hemorrhage (Report of a Case—with Recovery)

Case Reports1 July 1949SUBACUTE BACTERIAL ENDOCARDITIS PRESENTING AS A SUBARACHNOID HEMORRHAGE (REPORT OF A CASE—WITH RECOVERY)ROBERT A. STARRS, M.D., F.A.C.P.ROBERT A. STARRS, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-31-1-139 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough subacute bacterial endocarditis is the most common cause of mycotic aneurysms in arteries in various organs throughout the body, including the cerebral vessels, the occurrence of subarachnoid hemorrhage during the course of the disease appears to be a most uncommon event. Stein1 in 1944 reported a fatal case from South Africa in a colored girl, age nine years. In the same year, Hagerman2 made the diagnosis in a young married woman, who subsequently died from the endocarditis after surviving the subarachnoid hemorrhage, but this case was not published.A search through the Quarterly Cumulative Index Medicus from 1932 through...Bibliography1. STEIN M: A subacute bacterial endocarditis presenting as a subarachnoid hemorrhage, South Africa Med. Jr., 1944, xviii, 215. Google Scholar2. HAGERMAN A: Personal communication, 1946. Google Scholar3. DASSENFONGI REG: Septic endocarditis lenta, Rochon-Duvigneaud syndrome (cranial paralysis) and subarachnoid hemorrhage in patient with total situs inversus, Rev. Asoc. méd. argent., 1938, lii, 845-849. Google Scholar4. TICE F: Practice of medicine, vi, 266, W. F. Prior Co., Inc., Hagerstown, Md. Google Scholar5. ALPERS BJ: Tice's Practice of medicine, x, 93-109a, W. F. Prior Co., Inc., Hagerstown, Md. Google Scholar6. BOYD W: Pathology of internal diseases, 1941, ed. 2, 42-124, Lea and Febiger, Philadelphia, Pa. Google Scholar7. BOYD W: Personal communication, 1947. Google Scholar8. SWIFT HJ: Nelson's new loose-leaf medicine, iv, 329, Thomas Nelson and Sons, New York and London. Google Scholar9. SAVITSKY N: Nelson's new loose-leaf medicine, vi, 549J, Thomas Nelson and Sons, New York and London. Google Scholar10. MOORE RA: A textbook of pathology, 1944, ed. 1, 950-954, W. B. Saunders Co., Philadelphia and London. Google Scholar11. PERRY CB: Bacterial endocarditis, 1936, vii, 69, John Wright and Sons Ltd., Bristol. Google Scholar12. MALLORY TB: Case records of the Massachusetts General Hospital, Case 33122, New Eng. Jr. Med., 1947, ccxxxvi, 445-449. Google Scholar13. PAULBLANDWHITE OEFPD: Bacterial endocarditis, New Eng. Jr. Med., 1947, ccxxxvii, 349-354. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Ottawa,*Received for publication February 19, 1947.From the Department of Medicine, Ottawa Civic Hospital, Ottawa, Canada.†Since submission of this manuscript for publication, two reports have appeared in the American medical press. Mallory's12 case concerned a terminal event in a 50 year-old woman. Paul, Bland and White13 in a survey of 44 cases of bacterial endocarditis treated with penicillin reported two fatal cases due to subarachnoid and intracerebral hemorrhage resulting from the rupture of a mycotic aneurysm. Their second case is of particular interest as the fatal complication occurred after a four weeks' course of therapy had been terminated with apparently excellent results. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe diagnosis and treatment of cerebral mycotic aneurysmsSpecial Problems Associated with Subarachnoid HemorrhageBacterial intracranial aneurysmEndokarditis und SubarachnoidalblutungNervous system complications in bacterial endocarditisThe Pathology of Vascular (“Arteriovenous”) MalformationsErkrankungen des EndokardEmbolic mycotic aneurysms, a complication of bacterial endocarditisSUBACUTE BACTERIAL ENDOCARDITIS PRESENTING AS A SUBARACHNOID HEMORRHAGE: REPORT OF A CASE WITH RECOVERY*ROBERT L. WHIPPLE JR., M.D., F.A.C.P. 1 July 1949Volume 31, Issue 1Page: 139-145KeywordsAneurysmsArteriesBacterial diseasesEndocarditisHemorrhageHospital medicinePenicillinSubarachnoid hemorrhage ePublished: 1 December 2008 Issue Published: 1 July 1949 PDF downloadLoading ...