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May 22, 1937, Vol 108, No. 21 >
Other Articles | May 22, 1937

PREGNANCY COMPLICATING SUBACUTE BACTERIAL ENDOCARDITIS: Title and subTitle BreakREPORT OF A CASE WITH IMMUNOLOGIC STUDIES

JOSEPH FELSEN, M.D.; HENRY SCHUMER, M.D.; A. G. OSOFSKY, M.A.
[+] Author Affiliations

Dr. Meyer Rosensohn and Dr. Harry Aranow, attending obstetricians, cooperated in carrying out these studies.


NEW YORK


JAMA. 1937;108(21):1783-1787. doi:10.1001/jama.1937.02780210023007
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References

Our purpose in this report is to present the clinical, bacteriologic, pathologic and immunologic observations in a case of subacute bacterial endocarditis complicated by pregnancy. Death of the mother occurred sixteen days after the delivery of a full term healthy infant.

Pregnancy complicating subacute bacterial endocarditis is of infrequent occurrence. Croom1 reports six cases in the literature up to 1906. The subject is further reviewed by Cameron,2 and Walser3 in 1928 adds two cases of his own in one of which the mother gave birth to a healthy infant. Our chief concern in the present communication is to explain, if possible, the immunity of the fetus to the infection, which was definitely demonstrated to be a septicemia in the mother during the entire ninth month of gestation.

REPORT OF CASE  C. A., a woman, aged 25, was admitted to the Bronx Hospital Jan. 3, 1936, during the

REFERENCES

1 +
Croom: Am. J. Obst. & Gynec. 10:221908;.
2 +
Cameron, G. S.:  Acute Endocarditis in Pregnancy , Canad. M. A. J. 8:891 ( (Oct.) ) 1918;.
3 +
Walser, H. C.:  Subacute Bacterial Endocarditis of the Streptococcus Viridans Type in Pregnancy, with Two Case Reports . Am. J. Obst. & Gynec. 15:840 ( (June) ) 1928;.
4 +
Ruh, H. O., and McClelland, J. E.:  Comparison of Diphtheria Immunity in the Mother and the New-Born , Am. J. Dis. Child. 25: 59 ( (Jan.) ) 1923;.
5 +
von Groer and Kussowitz, quoted from Diphtheria , London, Medical Research Council, 1923;.
6 +
Zingher, Abraham, quoted by Aycock and Kramer.10
7 +
Polano: quoted from Diphtheria , London, Medical Research Council, 1923;, p. 288.
8 +
Kuttner, Ann, and Ratner, Bret:  The Importance of Colostrum to the New-Born Infant , Am. J. Dis. Child. 25:413 ( (June) ) 1923;.
9 +
Toomey, J. A., and August, M. H.:  Studies in Scarlet Fever: VII. Blanching with Placental Serum , Am. J. Dis. Child. 38:953 ( (Nov.) ) 1929;.
10 +
Aycock, W. L., and Kramer, S. D.:  Immunity to Poliomyelitis in Mothers and the New-Born as Shown by the Neutralization Test . J. Exper. Med. 52:457 ( (Oct.) ) 1930;.
11 +
Tenbroeck, C., and Bauer, J. H.:  The Transmission of Tetanus Antitoxin Through the Placenta , Proc. Soc. Exper. Biol. & Med. 20: 399, 1923;.
12 +
McKhann, C. F., and Chu, F. T.:  Antibodies in Placental Extracts , J. Infect. Dis. 52:268 ( (March) -April) 1933;.
13 +
Slemons, J. M.:  Placental Bacteremia , J. A. M. A. 65:1265 ( (Oct. 9) ) 1915;.

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1 +
Croom: Am. J. Obst. & Gynec. 10:221908;.
2 +
Cameron, G. S.:  Acute Endocarditis in Pregnancy , Canad. M. A. J. 8:891 ( (Oct.) ) 1918;.
3 +
Walser, H. C.:  Subacute Bacterial Endocarditis of the Streptococcus Viridans Type in Pregnancy, with Two Case Reports . Am. J. Obst. & Gynec. 15:840 ( (June) ) 1928;.
4 +
Ruh, H. O., and McClelland, J. E.:  Comparison of Diphtheria Immunity in the Mother and the New-Born , Am. J. Dis. Child. 25: 59 ( (Jan.) ) 1923;.
5 +
von Groer and Kussowitz, quoted from Diphtheria , London, Medical Research Council, 1923;.
6 +
Zingher, Abraham, quoted by Aycock and Kramer.10
7 +
Polano: quoted from Diphtheria , London, Medical Research Council, 1923;, p. 288.
8 +
Kuttner, Ann, and Ratner, Bret:  The Importance of Colostrum to the New-Born Infant , Am. J. Dis. Child. 25:413 ( (June) ) 1923;.
9 +
Toomey, J. A., and August, M. H.:  Studies in Scarlet Fever: VII. Blanching with Placental Serum , Am. J. Dis. Child. 38:953 ( (Nov.) ) 1929;.
10 +
Aycock, W. L., and Kramer, S. D.:  Immunity to Poliomyelitis in Mothers and the New-Born as Shown by the Neutralization Test . J. Exper. Med. 52:457 ( (Oct.) ) 1930;.
11 +
Tenbroeck, C., and Bauer, J. H.:  The Transmission of Tetanus Antitoxin Through the Placenta , Proc. Soc. Exper. Biol. & Med. 20: 399, 1923;.
12 +
McKhann, C. F., and Chu, F. T.:  Antibodies in Placental Extracts , J. Infect. Dis. 52:268 ( (March) -April) 1933;.
13 +
Slemons, J. M.:  Placental Bacteremia , J. A. M. A. 65:1265 ( (Oct. 9) ) 1915;.

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