Bacterial Endocarditis Following Urethral Manipulation

Abstract

REVIEWS in the older literature^{1 2 3} and a recent article⁴ have commented on the frequent occurrence of bacteremia following manipulation of the genitourinary tract. In one report³ the complication of bacterial endocarditis in a case is noted, but a perusal of the literature since 1940 revealed no recently reported cases. To emphasize the occurrence of this complication and to stress the need for routine prophylaxis in persons with known valvular defects, the following cases of bacterial endocarditis, developing after urethral dilatation and terminating fatally, are presented.Case 1. A 56-year-old man was admitted to the hospital on July 6, 1945, with . . .