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J. Lester Kobacker, M.D.
JAMA. 1930;95(4):266-267. doi:10.1001/jama.1930.27210040003009b.
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There have been frequent reports in the literature of cases of subacute bacterial endocarditis occurring during the puerperium, yet there have been few bona fide cases of the disease observed during pregnancy. Walser1 recently published a fairly exhaustive review of the literature and was able to find only two unquestioned examples of endocarditis lenta associated with pregnancy, to which he added two cases. He found that true malignant or ulcerative endocarditis had been reported not infrequently, beginning with the case of Litten's2 in 1878. The textbooks make no mention of the condition in pregnancy, and in extensive series of cases, such as those reported by Libman3 and Blumer,4 there is no reference to any case complicated by pregnancy. Libman5 infers in one article that cases of bacterial endocarditis of the puerperium may be the result of an old infection present before delivery and not of


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