RT Journal
A1 Cooke DB, Arensberg D, Feiner JM, Rimland D, Lesser LM
T1 GOnococcal endocarditis in the antibiotic era
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1979
FD November 1
VO 139
IS 11
SP 1247
OP 1250
DO 10.1001/archinte.1979.03630480035013
UL http://dx.doi.org/10.1001/archinte.1979.03630480035013
AB Since the introduction of penicillin in 1942, there have been only 11 culture-proven cases of gonococcal endocarditis in the English literature. Most patients are under 30 years of age and have no history of heart disease. The aortic valve is often involved and aortic regurgitation is common. The bacteriologic diagnosis can be difficult and may require more than six blood cultures and a long incubation period. Circulating immune complexes appear to be the cause of many of the extracardiac manifestations. The three new cases reported herein and review of the literature emphasize the distinctive features of gonococcal endocarditis.(Arch Intern Med 139:1247-1250, 1979)