FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 336:205-210 January 16, 1997 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 38-year-old schizophrenic man was admitted to the hospital because of digital clubbing and a cardiac murmur.

The patient had been well until about one year earlier, when he began to have swelling of the fingers and toes. Eleven months before admission, an evaluation elsewhere showed a grade 2 systolic murmur at the lower left sternal border. One month before admission, he underwent a dental extraction and took ampicillin prophylactically for two days. On the day of admission, examination of the patient in the medical clinic revealed two loud murmurs. A cardiac ultrasonographic examination showed severe mitral and aortic regurgitation. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. George A. Jacoby, Jr.'s, Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Zeaiter, Z., Fournier, P.-E., Greub, G., Raoult, D. (2003). Diagnosis of Bartonella Endocarditis by a Real-Time Nested PCR Assay Using Serum. J. Clin. Microbiol. 41: 919-925 [Abstract] [Full Text]  
• Raoult, D., Fournier, P.-E., Vandenesch, F., Mainardi, J.-L., Eykyn, S. J., Nash, J., James, E., Benoit-Lemercier, C., Marrie, T. J. (2003). Outcome and Treatment of Bartonella Endocarditis. Arch Intern Med 163: 226-230 [Abstract] [Full Text]  
• Fournier, P.-E., Mainardi, J.-L., Raoult, D. (2002). Value of Microimmunofluorescence for Diagnosis and Follow-up of Bartonella Endocarditis. CVI 9: 795-801 [Abstract] [Full Text]  
• Brouqui, P., Raoult, D. (2001). Endocarditis Due to Rare and Fastidious Bacteria. Clin. Microbiol. Rev. 14: 177-207 [Abstract] [Full Text]