BEN ZWEIFLER, M.D.; ELI SAR, M. D.; ISIDORE FEDER, M.D., F.A.C.P.
Subacute bacterial endocarditis caused by Streptococcus fecalis has always presented a problem in therapy. This organism, together with Str. liquefaciens, beta Str. zymogenes, and beta Str. hemothermophilus, belongs to the Enterococcus group of Sherman. They are part of Group D, in Lancefield's classification of streptococci. A review of the literature reveals varying degrees of therapeutic success with both streptomycin and penicillin. Tumulty and Harvey,1 in their review of 35 cases of subacute bacterial endocarditis, state that Streptococcus fecalis manifested the highest degree of penicillin resistance, a resistance which became progressively greater as treatment progressed. In their group both patients infected
ZWEIFLER B, SAR E, FEDER I. SUBACUTE BACTERIAL ENDOCARDITIS DUE TO STREPTOCOCCUS FECALIS1. Ann Intern Med. 1951;34:217–223. doi: 10.7326/0003-4819-34-1-217
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Published: Ann Intern Med. 1951;34(1):217-223.
Cardiology, Endocarditis, Infectious Disease, Streptococcal Infections.
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