Haddy R I, Westveer D, Gordon R C
J Fam Pract. 1981 Nov;13(6):807-11.
The clinical records of 66 patients with bacterial endocarditis hospitalized in three community hospitals in Saginaw, Michigan, from 1964 through 1979 were reviewed. Data from these nonreferral hospitals demonstrate that infective endocarditis often does not present to the primary care physician with classical physical findings. The etiological organisms were noted to change from being primarily alpha-hemolytic streptococci during the early part of the study to staphylococci and Streptococcus faecalis during later years. Narcotic addiction was a factor of increasing importance in the development of endocarditis and in the changing microbiology of this clinical syndrome.
对1964年至1979年期间在密歇根州萨吉诺市的三家社区医院住院的66例细菌性心内膜炎患者的临床记录进行了回顾。这些非转诊医院的数据表明，感染性心内膜炎通常不会以典型的体格检查结果呈现给初级保健医生。病因微生物在研究早期主要是α溶血性链球菌，而在后期则变为葡萄球菌和粪肠球菌。麻醉品成瘾在感染性心内膜炎的发生以及该临床综合征微生物学变化方面成为一个越来越重要的因素。
