Actinomycosis of the Heart Simulating Rheumatic Fever

Thoracic Actinomycosis

“…There was no instance of metastatic cardiac infection. Cornell and Shookhoff (1944) collected from the literature 68 cases in which the infection involved the heart or pericardium and added three of their own, including one which presented as mitral stenosis and rheumatic fever. In 29 of these 68 cases the infection resulted from direct extension and in 19 by embolic spread from a distant focus.…”

The Actinomycetes-Their Nature, Occurrence, Activities and Importance.

“…In addition to the common abdominal, pulmonary, and cervicofacial, forms of actinomycosis, other types exist, such as cardiac involvements and subcutaneous infections. Myocardial and pericardial forms of actinomycosis may be considered clinically as cases of rheumatic heart disease (81).…”

“…Generic names, 5 Glycine, decomposition of, 81,150 Grisein,66,117,124,128 Growth of actinomycetes, [84][85][86] Growth, environmental influence on,…”

Drug Resistance in Malaria

“…Cornell and Shookoff (1944) found only 18 reported cases with endocardial ulceration capable of causing pyaemia. In only two were valves infected; the remainder arose by direct spread from the mediastinum (11) or by embolic involvement of the myocardium (5).…”