A retrospective study of group B streptococcal endocarditis during 1965–74 in Aberdeen General Hospitals revealed that group B streptococci now principally affect patients in the older age groups with or without a history of antecedent heart disease. Despite recent reports of increased group B infections in obstetric and perinatal practice there were no cases of post-puerperal endocarditis. Although aortic valve involvement would appear to be increasing, group B streptococci still show a marked predilection for the mitral valve.
Get full access to this article
View all access options for this article.
References
1.
AngristA. A.OkaM. (1963). Pathogenesis of bacterial endocarditis. Journal of the AmericanMedical Association, 183, 249
2.
DumaR. J.WeinbergA. N.MedrekR. F.KunzL. J. (1969). Streptococcal infections. A bacteriological and clinical study of streptococcal bacteremia. Medicine, 48, 87
3.
EickhoffT. L.KleinJ. O.DalyA. K.IngallM.FinlandM. (1964). Neonatal sepsis and other infections due to group B beta-hemolytic streptococci. New England Journal of Medicine, 271, 1221
4.
GeraciJ. E.MartinW. J. (1954). Antibiotic therapy of bacterial endocarditis. VI. Subacute enterococcal endocarditis. Clinical, pathologic and therapeutic consideration of 33 cases. Circulation, 10, 173
5.
HillA. M.ButlerH. M. (1940). Haemolytic streptococcal infections following childbirth and abortion. Clinical features with special reference to infections due to streptococci of groups other than A. Medical Journal of Australia, 1, 293
6.
HughesP.GauldW. R. (1966). Bacterial endocarditis: A changing disease. Quarterly Journal of Medicine, 35, 511
7.
RamsayA. M.GillespieM. (1941). Puerperal infection associated with haemolytic streptococci other than Lancefield's group A. Journal of Obstetrics and Gynaecology of the British Empire, 48, 569
8.
ReidT. M. S. (1975). Emergence of group B streptococci in obstetric and perinatal infections. British Medical Journal, 2, 533
9.
RosenthalA. H.StoneF. M. (1940). Puerperal infection with vegetative endocarditis. Report of sulfanilamide therapy in two fatal cases due to streptococcus haemolyticus group B and C. Journal of the American Medical Association, 114, 840
10.
SapicoF. L.KeysT. F.HewittW. L. (1972). Experimental enterococcal endocarditis. II Study of invivo synergism of penicillin and streptomycin. American Journal of the Medical Sciences, 263, 128
11.
VildeJ-L.RoujeauJ.-C.BureA.Ver LiacF.BastinR. (1974). Infections graves et septicemies a streptocoque du group B chez l'adulte. A propos de quatre observations dont une endocardite tricuspidienne compliquée de glomerulonephrite. Semaine des Hopitaux de Paris, 50, 355