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Article |

Enterococcal Endocarditis Following Sigmoidoscopy and Mitral Valve Prolapse

John Rigilano, MC; Rajat Mahapatra, MD; James Barnhill, MC; Jose Gutierrez, MC
Arch Intern Med. 1984;144(4):850-851. doi:10.1001/archinte.1984.00350160220038.
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• There is considerable controversy regarding antimicrobial prophylaxis against infective endocarditis for routine sigmoidoscopy without biopsy in patients with underlying valvular heart disease. Sigmoidoscopy is known to produce brief, low-grade bacteremia in some patients. Persons with mitral valve prolapse (MVP) may be at risk of infective endocarditis developing during transient bacteremia. We describe a 67-year-old man with known MVP in whom enterococcal endocarditis developed following routine sigmoidoscopy. We believe this to be the first such reported case.

(Arch Intern Med 1984;144:850-851)


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