PUERPERAL INFECTION WITH VEGETATIVE ENDOCARDITIS

9 March 1940

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 114 (10) , 840-843
https://doi.org/10.1001/jama.1940.02810100006002

Abstract

During a recent study of sulfanilamide therapy in puerperal infection¹two cases of endocarditis due to Streptococcus haemolyticus groups B and C, respectively, were encountered. Since fatal infection due to group B is infrequent and has not been previously reported in the case of group C, report of these cases should be of interest. REPORT OF CASES Case 1.— B. R., an Italian housewife aged 28, was admitted August 29, 1938, to the service of Dr. Charles A. Gordon at the Kings County Hospital. Her last menses occurred June 26. Two months later she suffered from backache and passed clots of blood by vagina. Within an hour she had a chill, followed by fever. Vaginal examination showed a sanguinopurulent discharge, a soft cervix which admitted the finger tip and a soft, tender uterus the size of a three months pregnancy. The leukocyte count was 20,000 with 87 per cent

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