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Staphylococcal Tricuspid Endocarditis in Heroin Addicts.

R. A. Olsson, M.D.; and M. J. Romansky, M.D., F.A.C.P.
Ann Intern Med. 1962;56(4):670. doi:10.7326/0003-4819-56-4-670_1
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Six patients with staphylococcal endocarditis secondary to heroin addiction are presented, bringing the total number of reported cases to 16.

Septic pulmonary embolism dominated the clinical course in all patients. Transient murmurs of tricuspid insufficiency were heard in two patients. One other patient developed a loud murmur of tricuspid insufficiency along with other phyiscal signs of this lesion. Cardiac findings in the remaining patients were non-specific or absent. Five of the six patients had episodes suggesting renal embolization; two patients had retinal emboli.

Chest X rays revealed numerous bilateral densities which, in four patients, progressed to cavitation. The cavities ultimately


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