CHESTER S. KEEFER, F.A.C.P.
For several years I have been interested in the group of patients with active bacterial endocarditis without bacteremia during life. These cases are not infrequent, and since organisms can be isolated from the vegetations post mortem, it is a matter of some interest to gather more information regarding the nature of the local lesion in the valves and the mechanism concerned with the absence of bacteremia.
The relative incidence of these so-called "bacteria free"21 cases varies in the experience of different observers. In the last 54 cases of endocarditis which came to necropsy at the Boston City Hospital,3 the blood
KEEFER CS. SUBACUTE BACTERIAL ENDOCARDITIS: ACTIVE CASES WITHOUT BACTEREMIA1. Ann Intern Med. ;11:714–734. doi: 10.7326/0003-4819-11-5-714
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Published: Ann Intern Med. 1937;11(5):714-734.
Cardiology, Endocarditis, Infectious Disease, Multi-Organ Failure and Sepsis, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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