Staphylococcal Tricuspid Endocarditis in Heroin Addicts
Authors: RAY A. OLSSON
Journal: Annals of Internal Medicine (1962)

Article1 November 1962Staphylococcal Tricuspid Endocarditis in Heroin AddictsRAY A. OLSSON, MONROE J. ROMANSKY, M.D., F.A.C.P.RAY A. OLSSON, MONROE J. ROMANSKY, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-5-755 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBacterial endocarditis is a frequent complication of heroin addiction, especially in addicts taking the drug by the "mainline" or intravenous route. Hussey and Katz found an incidence of 8 per cent in 102 addicts with a variety of infections (1). In 7 the causative microorganism was a staphylococcus, and autopsy in the 4 patients who died revealed infection of the tricuspid valve. These patients were characterized clinically by a triad of heroin addiction, septicemia, and pulmonary infarction in the absence of peripheral venous disease. Murmurs and other physical findings characteristic of tricuspid insufficiency were absent, although autopsy revealed extensive valve...References1. HUSSEYKATZ HHS: Infections resulting from narcotic addiction. Amer. J. Med. 9: 186, 1950. CrossrefMedlineGoogle Scholar2. HUSSEYKELLIHERSCHAEFFERWALSH HHTFBFBJ: Septicemia and bacterial endocarditis resulting from heroin addiction. JAMA 126: 535, 1944. CrossrefGoogle Scholar3. WILHELMHIRSHHUSSEYDOWLING FHLHHHF: The treatment of bacterial endocarditis with penicillin. Ann. Intern. Med. 26: 221, 1947. LinkGoogle Scholar4. WILDER RM: Staphylococcal bacterial endocarditis: report of a case in a narcotic addict. Amer. J. Med. 23: 325, 1957. CrossrefMedlineGoogle Scholar5. HOLMESROMANSKY JRMJ: Successful short-term therapy of enterococcal and staphylococcal endocarditis with ristocetin: seven patients. Preliminary report, in Antibiotics Annual, 1957-58, Antibiotica, Inc., New York, 1958, p. 187. Google Scholar6. BAINEDWARDSSCHEIFFEYGERACI RCJECHJE: Right-sided bacterial endocarditis and endarteritis. A clinical and pathologic study. Amer. J. Med. 24: 98, 1958. CrossrefMedlineGoogle Scholar7. GOLDBURGHBAERLIEBER HLSMM: Acute bacterial endocarditis of the tricuspid valve. Amer. J. Med. Sci. 204: 319, 1942. CrossrefGoogle Scholar8. HUSSEYKATZ HHS: Septic pulmonary infarction: report of eight cases. Ann. Intern. Med. 22: 526, 1945. LinkGoogle Scholar9. DE NAVASQUEZ S: Further studies in experimental pyelonephritis produced by various bacteria, with special reference to renal scarring as a factor in pathogenesis. J. Path. Bact. 71: 27, 1956. CrossrefMedlineGoogle Scholar10. LUTTGENS WF: Endocarditis in "main line" opium addicts. Arch. Intern. Med. 83: 653, 1949. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RAY A. OLSSON; MONROE J. ROMANSKY, M.D., F.A.C.P.Affiliations: Washington, D. C.From the George Washington University Medical Division, District of Columbia General Hospital, and the Department of Medicine, George Washington University School of Medicine, Washington, D. C.Presented at the Forty-third Annual Meeting of The American College of Physicians, April 9-13, 1962, Philadelphia, Pennsylvania.Requests for reprints should be addressed to Monroe J. Romansky, M.D., George Washington University Hospital, 901 23rd Street, N. W., Washington, D. C. 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GORBACH, M.D.Right-sided valvular infective endocarditisA clinical study of an epidemic of heroin intoxication and heroin-induced pulmonary edemaCase 26-1971Endocarditis of the Pulmonic Valve Simulating Cardiac TumorSEPTICÆMIA AND PULMONARY EMBOLISM COMPLICATING USE OF ARTERIOVENOUS FISTULA IN MAINTENANCE HÆMODIALYSISEndocarditis in the drug addictEndocarditis in heroin addicts.Recurrent Septic Pulmonary Embolization Complicating Maintenance HemodialysisNORMA J. GOODWIN, M.D., JOSEPH J. CASTRONUOVO, M.D., ELI A. FRIEDMAN, M.D.Septic Pulmonary EmbolismAuscultatory features of acute tricuspid regurgitationInfective Endocarditis in Narcotic AddictsCHARLES E. CHERUBIN, M.D., MICHAEL BADEN, M.D., FLORENCE KAVALER, M.D., STUART LERNER, B.S., WILLIAM CLINE, B.S.The narcotic addict as a medical patientPhonocardiography and Venous TracingsA Review of the Medical Complications of Narcotic AddictionThe Major Medical Complications of Heroin AddictionDONALD B. LOURIA, M.D., F.A.C.P., TERRY HENSLE, B.S., JOHN ROSE, B.S.The Medical Sequelae of Narcotic AddictionCHARLES E. CHERUBIN, M.D.Pulmonary valve regurgitation secondary to bacterial endocarditis in heroin addictsIsolated tricuspid valvular insufficiency due to subacute bacterial endocarditisCase 25-1965Errors and Hazards in the Diagnosis and Treatment of Bacterial PneumoniasJONAS A. SHULMAN, M.D., LEON A. PHILLIPS, M.D., ROBERT G. PETERSDORF, M.D., F.A.C.P.Biographische Aspekte der entzündlichen KlappeninsuffizienzDiagnosis and treatment of bacterial endocarditis 1 November 1962Volume 57, Issue 5Page: 755-762KeywordsAddictsAutopsyEndocarditisHeroinHospital medicinePulmonary diseasesStaphylococcal infectionStaphylococcusStaphylococcus aureusThorax ePublished: 1 December 2008 Issue Published: 1 November 1962 PDF downloadLoading ...