Endocarditis After the Use of an Oral Irrigation Device
Authors: MARK S. DRAPKIN
Journal: Annals of Internal Medicine (1977)

Brief Reports1 October 1977Endocarditis After the Use of an Oral Irrigation DeviceMARK S. DRAPKIN, M.D.MARK S. DRAPKIN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-87-4-455_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBacteremia 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...References1. EVERETTHIRSCHMANN EJ: Transient bacteremia and endocarditis prophylaxis. A review. Medicine (Baltimore) 56:61-77, 1977 CrossrefMedlineGoogle Scholar2. ROMANSAPP AG: Bacteremia, a result from oral irrigation in subjects with gingivitis. J. Periodontol 42:757-760, 1971 CrossrefMedlineGoogle Scholar3. FELIXROSENAPP JSG: Detection of bacteremia after the use of an oral irrigation device in subjects with periodontitis. J Periodontol 42:785-787, 1971 CrossrefMedlineGoogle Scholar4. BERGERWEITZMANEDBERGCASEY SSSJ: Bacteremia after the use of an oral irrigation device. A controlled study in subjects with normal-appearing gingiva: comparison with use of toothbrush. Ann Intern Med 80:510-511, 1974 LinkGoogle Scholar5. WEINSTEINRUBIN LR: Infective endocarditis—1973. Prog Cardiovasc Dis 16:239-274, 1973 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Division of Infectious Diseases Newton-Wellesley Hospital Newton Lower Falls, MA 02162 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByProphylaxis of Infective EndocarditisPrevention of Infective EndocarditisPrevention of Infective Endocarditis: A Review of the Medical and Dental LiteratureThe patient with chronic renal failure who is undergoing dialysis or renal transplantation: Another consideration for antimicrobial prophylaxisSystemic lupus erythematosus: A consideration for antimicrobial prophylaxisCase 2-1986The asplenic patient: A consideration for antimicrobial prophylaxisThe pathogenic potential of commensal species of NeisseriaDental Management of Patients Receiving ChemotherapyMaintaining Oral HealthProphylaxis of Intravascular InfectionInfective Endocarditis: An Analysis Based on Strict Case DefinitionsC. FORDHAM VON REYN, M.D., BARRY S. LEVY, M.D., M.P.H., ROBERT D. ARBEIT, M.D., GERALD FRIEDLAND, M.D., CLYDE S. CRUMPACKER, M.D.Purulent Pericarditis Due to Neisseria mucosa 1 October 1977Volume 87, Issue 4Page: 455-455KeywordsBacteremiaBloodEndocarditisFeversOutpatients Issue Published: 1 October 1977 PDF DownloadLoading ...