Document Detail

Vegetative bacterial endocarditis on the prolapsing mitral valve. Echocardiographic evaluation.
MedLine Citation:
PMID:  869651     Owner:  NLM     Status:  MEDLINE    
Vegetative endocarditis on the prolapsing mitral valve can be diagnosed with an echocardiogram and the response to therapy can be followed with this technique. A dense mass of fuzzy echoes was noted on the prolapsing posterior leaflet of an echocardiogram from a patient with endocarditis. Three months after the initiation of antibiotic therapy, the mass of echoes had disappeared and was replaced by a dense linear echo, suggesting fibrosis of the part of the mitral valve that had been infected previously. Persistence of the echocardiographic evidence of endocarditis, despite negative blood cultures, may indicate persistence of the risk of peripheral embolization.
M S Horowitz; L G Smith
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  137     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1977 Jun 
Date Detail:
Created Date:  1977-07-18     Completed Date:  1977-07-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  788-90     Citation Subset:  AIM; IM    
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MeSH Terms
Endocarditis, Bacterial / diagnosis*,  drug therapy
Erythromycin / therapeutic use
Heart Valve Diseases / diagnosis*,  drug therapy
Middle Aged
Mitral Valve*
Penicillin G / therapeutic use
Prolapse / diagnosis,  drug therapy
Streptococcal Infections / drug therapy
Streptomycin / therapeutic use
Reg. No./Substance:
114-07-8/Erythromycin; 57-92-1/Streptomycin; 61-33-6/Penicillin G

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