HARRIS A. LAPPIN, M.D.
To the editor: Dowling and associates (1) have described in your journal a case of bacterial endocarditis caused by Neisseria mucosa in a patient with Marian's syndrome. Endocarditis is a well-described complication of the mitral valve prolapse-click syndrome (MVP-CS), as reviewed by Jeresaty (2). There is also strong support for the concept that MVP-CS is a forme fruste of Marfan's disease (3). It would therefore not be surprising to discover on rare occasion a patient with Marfan's syndrome and endocarditis from almost any organism.
The case report implies that the endocarditis in this patient occurred in the presence of penicillin
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LAPPIN HA. Endocarditis in Marian's Syndrome. Ann Intern Med. 1975;82:432–433. doi: 10.7326/0003-4819-82-3-432
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Published: Ann Intern Med. 1975;82(3):432-433.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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