Abstract
Two unusual cases of mural endocarditis are described. The first was that of a 13-year-old boy with infected burns on the legs. Autopsy revealed mural vegetations in both ventricles and cytomegalic viral inclusions were demonstrated in the vegetations, heart muscle, and endothelial cells of various organs. This appears to be the first reported case of cytomegalic inclusion viral endocarditis. A review of the literature revealed only six previous reports of cytomegalic viral myocarditis, which was also present in this case. The second case was that of a 4-year-old girl with bronchiectasis. Autopsy revealed mural vegetations in the right ventricle. Group C beta-hemolytic streptococcus was isolated from the mural vegetations, as well as from the diseased lungs. Only two previous reports of endocarditis caused by this organism are found in the literature.