RUPTURE OF SPLEEN IN SUBACUTE BACTERIAL ENDOCARDITIS
- 1 April 1954
- journal article
- research article
- Published by American Medical Association (AMA) in A.M.A. Archives of Internal Medicine
- Vol. 93 (4) , 633-640
- https://doi.org/10.1001/archinte.1954.00240280153012
Abstract
THE ASSOCIATION of bacterial endocarditis and mycotic aneurysm has been recognized for over a century. In 1851, Koch1described a patient with endocarditis who died suddenly after rupture of a superior mesenteric artery aneurysm. Tufnell2recognized the influence of emboli from valvular vegetations in the development of arterial aneurysms. Osler3termed these emboli "mycotic" and postulated the significant role of micro-organisms in the production of such aneurysms. In his Gulstonian Lecture on Malignant Endocarditis,4Osier described a case of "ulcerative endocarditis," with multiple small aneurysms involving the aortic arch. In 1887, Eppinger5demonstrated the actual infectious nature of the emboli, applying careful bacteriologic techniques. We are reporting a patient who recovered from subacute bacterial endocarditis complicated by a ruptured aneurysm of the splenic artery and rupture of the spleen. REPORT OF A CASE V. C., 401163, a 30-year-old white housewife, was admitted to the Research and Educational Hospital on MarchThis publication has 0 references indexed in Scilit: