Persistent atrial tachycardia in pregnancy.

is uncertain, but this organism was assumed to be the cause of the endocarditis as no other organism was cultured.The endocarditis may have been caused, however, by a penicillin sensitive organism.Bacterial endocarditis secondary to acupuncture has not previously been reported, and the incidence of local infection after acupuncture is also not recorded.With the increasing popularity of acupuncture physicians may need to consider advising antibiotic prophylaxis to patients with cardiac lesions who intend having acupuncture.If Pseudomonas was the causal agent in the patient reported a normal prophylactic regimen would not have been adequate.We suggest, however, that oral amoxycillin would be suitable for skin prophylaxis for most patients although flucloxacillin might be con- sidered for those exposed to resistant staphylococci.Shanson DC.Prophylaxis and treatment of infective endocarditis.