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(Chest. 1974;66:88-89.)
© 1974 American College of Chest Physicians

Subacute Bacterial Endocarditis in a Patient with Isolated, Nonejection Systolic Click but without a Murmur

Daniel T. Kincaid M.D.1 and Robert E. Botti M.D.2

1 Division of Cardiology, Department of Medicine, University Hospitals of Cleveland
2 Associate Professor of Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland

An 18-year-old college girl with an isolated, late systolic, nonejection click developed subacute bacterial endocarditis. Her course was uncomplicated except for the development of a late systolic murmur following the click. The importance of prophylaxis against endocarditis in patients with nonejection, systolic clicks, even in the absence of a murmur is emphasized.







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Copyright © 1974 by the American College of Chest Physicians.