Some Factors Affecting Prognosis in Bacterial Endocarditis

Article1 August 1961Some Factors Affecting Prognosis in Bacterial EndocarditisMORTON LEE PEARCE, M.D., LUCIEN B. GUZE, M.D.MORTON LEE PEARCE, M.D., LUCIEN B. GUZE, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-55-2-270 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn reviewing the experience of a decade with 85 cases of bacterial endocarditis, a startling disparity was noted in the results of treatment in this hospital compared with those generally reported in the literature. Only 22% of patients were known to be alive at the end of one year, in contrast to estimates of 80 to 90% in the literature. The data from these 85 cases were analyzed for clues to the poor results obtained.No attempt was made to present a detailed analysis of all the features of the cases in this series, since excellent monographs are already available...References1. KERR A: Subacute Bacterial Endocarditis, Charles C Thomas, Springfield, Ill., 1955. Google Scholar2. LIBMANFRIEDBERG ECK: Subacute Bacterial Endocarditis, 2nd Ed., Oxford University Press, New York, 1948. Google Scholar3. HUNTERPATERSON THPY: Bacterial Endocarditis, Disease of the Month, Nov. 1956, 48 pp. Google Scholar4. FINLAND M: Treatment of bacterial endocarditis. New Engl. J. Med. 250: 372, 1954. CrossrefMedlineGoogle Scholar5. GUZEPEARCE LBML: Hospital acquired bacterial endocarditis: observations on hospital sepsis. To be published. Google Scholar6. STAUGASGUZEPEARCE LLBML: The use of electronic computers in medical research. To be published. Google Scholar7. FRIEDBERG CK: Subacute bacterial endocarditis: revision of diagnostic criteria and therapy. J. A. M. A. 144: 527, 1950. CrossrefMedlineGoogle Scholar8. CORRELLLUBITZLINDERT HLJMMC: Bacterial endocarditis: clinicopathologic studies of untreated, treated, and cured patients. Ann. Intern. Med. 35: 45, 1951. LinkGoogle Scholar9. ANDERSONSTAFFURTH HJJS: Subacute bacterial endocarditis in the elderly. Lancet 2: 1055, 1955. CrossrefGoogle Scholar10. CUMMINGSFURMANDUNSTRUBIN VSMIL: Subacute bacterial endocarditis in the older age group. J. A. M. A. 172: 137, 1960. CrossrefMedlineGoogle Scholar11. CATESCHRISTIE JERV: Subacute bacterial endocarditis: a review of 442 patients treated in 14 centers appointed by the Penicillin Trials Committee of the Medical Research Council. Quart. J. Med. 20: 93, 1951. MedlineGoogle Scholar12. SHUBINLEVINSONGRIFFITH HDCGC: Endocarditis due to coagulase-positive Staphylococcus pyogenes var. aureus. Review of 18 cases and review of additional nine at The Los Angeles County Hospital, 1947-1956. J. A. M. A. 167: 1218, 1958. CrossrefMedlineGoogle Scholar13. GERACI JE: The antibiotic therapy of bacterial endocarditis: therapeutic data on 172 patients seen from 1951 through 1957. Additional observations on short term therapy (two weeks) for penicillin sensitive streptococcal endocarditis. Med. Clin. N. Amer. 42: 1101, July 1958. CrossrefMedlineGoogle Scholar14. CLAWSON BJ: Rheumatic heart disease. An analysis of 796 cases. Amer. Heart J. 20: 454, 1940. CrossrefGoogle Scholar15. HUFNAGELHARVEYRABILMCDERMOTT CAWPPJTF: Surgical correction of aortic insufficiency. Surgery 35: 673, 1954. MedlineGoogle Scholar16. DONZELOTLEBOZECKAUFMANNESCALLE EJHJ: Le prognostic de l'endocardite infectieuse subaiguë traitée par les antibiotics. Résults du traitement de 202 cas. Arch. Mal. Coeur 46: 97, 1953. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MORTON LEE PEARCE, M.D.; LUCIEN B. GUZE, M.D.Affiliations: Los Angeles, CaliforniaReceived for publication November 23, 1960.From the Medical Service, Wadsworth General Hospital, Veterans Administration Center, and The Department of Medicine, University of California Medical Center, Los Angeles, Calif.Requests for reprints should be addressed to M. L. Pearce, M.D., Chief, Cardiology Section, Veterans Administration Hospital, Los Angeles 25, Calif. 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RABINOVICH, M.D., J. EVANS, M.D., I. M. SMITH, M.D., F.A.C.P., M.R.C.P. (GLAS.), L. E. JANUARY, M.D., F.A.C.P.Etiology of Bacterial Endocarditis Before and Since the Introduction of AntibioticsLARKIN M. WILSON, M.D.Pathology of Fatal Bacterial Endocarditis before and since the Introduction of AntibioticsLARKIN M. WILSON, M.D. 1 August 1961Volume 55, Issue 2Page: 270-282KeywordsAlcoholsCardiac hypertrophyCirrhosisElectrocardiographyEndocarditisHospital medicineMedical servicesStreptococcal infections ePublished: 1 December 2008 Issue Published: 1 August 1961 PDF downloadLoading ...