MARK S. DRAPKIN, M.D.
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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
DRAPKIN MS. 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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