CLAUS A. PIERACH, M.D.; GÜNER GÜLMEN, M.D.; G. JEELANI DHAR, M.D.; JOSEPH C. KISER, M.D.
To the editor: Animal valves are used with varying success as transplants in man; their degradation or infection is relatively uncommon. An unusual fungal endocarditis on a transplanted porcine valve prompts this report.
A 56-year-old white housewife underwent replacement of her calcified mitral valve on 12 May 1970, by a porcine aortic valve (1), and did well thereafter. When readmitted on 17 September 1971, she had had fever up to 38.8 °C for 4 weeks, with chills, shortness of breath, and cough. Outpatient treatment with penicillin had brought no relief.
Examination showed a moribund woman with a temperature of 37.7
PIERACH CA, GÜLMEN G, DHAR GJ, KISER JC. Phialophora mutabilis Endocarditis. Ann Intern Med. ;79:900–901. doi: 10.7326/0003-4819-79-6-900_2
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Published: Ann Intern Med. 1973;79(6):900-901.
Cardiology, Endocarditis, Infectious Disease.
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