Bacterial endocarditis

Prognostic Value of Skin Manifestations of Infective Endocarditis

“…In a 1973 review article 21 covering 1927 to 1967, the frequencies were 10% to 23% of patients with IE having Osler nodes 22,23 and 19% to 40% of patients with IE having purpura. 24,25 These manifestations seem to be reported less frequently (approximately 10% of cases) in more recent studies. 5,7 The prevalence rates may be underestimated in the absence of systematic dermatological examination and photographs for retrospective assessment.…”

Staphylococcus albus endocarditis

“…In the present case endocarditis was present, as shown by the occurrence of fever, cardiac systolic murmur, embolic phenomena, anaemia and raised E.S.R., (Wood 1956). This had affected a normal heart valve, as had occurred in the case described by Vogler et al (1962). Though the incidence of staph.…”

The use of anticoagulants in bacterial endocarditis

“…Whilst clinical evidence of intracranial embolization is seen in 15 % of patients with bacterial endo-carditis (Cates and Christie, 1951), death attributable to this complication is much less frequent (Cates and Christie, 1951;Freidberg, Goldman and Field, 1961;Pankey, 1962;Volger, Dorney and Bridges, 1962). Experience of this patient, in whom the control of rapid atrial fibrillation was covered with heparin resulting in a fatal intracranial haemorrhage, re-emphasizes the risks when anticoagulants are given in bacterial endocarditis.…”