There has recently been an increasing number of reports of endocarditis due to unusual gramnegative bacteria. The following is believed to be the first reported patient with acute bacterial endocarditis due to Moraxella liquefaciens.
A 77-year-old married white man was admitted to the White River Junction Veterans Administration Hospital on Nov 6, 1967, with a one-month history of intermittent gross hematuria. Prior to this time, the patient was apparently in excellent health except for a urinary calculus several years previously. The patient worked as a chicken farmer and was able to clean out his chicken coop one week prior to admission. During the week leading up to his admission, the patient complained of general malaise, fever, chills, anorexia, frequency of urination, and dyspnea.The pertinent physical findings on admission were a temperature of 104 F (40 C) rectally, marked tachypnea, and a pulse rate of 120 beats per