MICHAEL SANDS, M.D.; C. V. SANDERS, M.D.
To the editor: Having read Mills and Drew's article (Ann Intern Med 84:29-35, 1976), we wish to report the case of a patient with Serratia marcescens endocarditis treated by us.
A 64-year-old male heroin addict, previously well, presented complaining of dyspnea and confusion for 1 week. Positive physical findings included a temperature of 40 °C [104 °F]; sinus tachycardia, 130/min; blood pressure 118/60 mm Hg; bibasilar moist rales; and a grade iii/vi holosystolic decrescendo murmur heard at the cardiac apex, radiating to the left axilla. Leukocyte count was 14 000/mm3 with 87% neutrophils; hematocrit, 32%; urinalysis showed 30 erythrocytes/high-power field;
SANDS M, SANDERS CV. Serratia marcescens Endocarditis. Ann Intern Med. ;85:397–398. doi: 10.7326/0003-4819-85-3-397_2
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Published: Ann Intern Med. 1976;85(3):397-398.
Cardiology, Endocarditis, Infectious Disease.
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