MARK S. DRAPKIN, M.D.
Bacteremia can occur after a variety of oral and other manipulations (1). These transient bacteremia assume major importance only when serious infection ensues, particularly endocarditis. I have recently treated two patients for endocarditis that followed the use of an oral irrigation device (Water-Pik®; Aqua Tek, Fort Collins, Colorado). Such use has previously been shown to provoke transient bacteremia in patients with diseased (2, 3) or normal (4) gingiva.
A 26-year-old man was admitted to the Massachusetts General Hospital because of positive blood clutures. For 2 weeks before admission, he had experienced malaise, anorexia, easy fatigability, and daily fever. When outpatient
MARK S. DRAPKIN. Endocarditis After the Use of an Oral Irrigation Device. Ann Intern Med. 1977;87:455. doi: 10.7326/0003-4819-87-4-455_1
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Published: Ann Intern Med. 1977;87(4):455.
Cardiology, Endocarditis, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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