C. GLENN COBBS, M.D.
To the editor: Patients with damaged heart valves risk endocarditis when bacteremia occurs. We have recently treated a woman with valvular heart disease who developed endocarditis after endometritis that followed placement of an intrauterine contraceptive device. Underlying endocardial disease may be a relative contraindication to this method of birth control.
A 22-year-old black woman, para 1-0-1, was admitted on 5 July 1972, complaining of fever of 5 days' duration. At the time of an uneventful delivery 7 months earlier the patient had had a grade 3/6 mitral insufficiency murmur. There was no history of prior acute rheumatic fever. One month
COBBS CG. IUD and Endocarditis. Ann Intern Med. ;78:451. doi: 10.7326/0003-4819-78-3-451_1
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Published: Ann Intern Med. 1973;78(3):451.
Cardiology, Endocarditis, Infectious Disease.
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