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Journal of Community Health

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01.12.2012 | Original Paper

The Management of Subacute Bacterial Endocarditis Superimposed on Rheumatic Heart Disease in the Immediate Pre-Penicillin Era: The Case of Pasquale Imperato

verfasst von: Pascal James Imperato, Austin C. Imperato, Gavin H. Imperato

Erschienen in: Journal of Community Health | Ausgabe 6/2012

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Abstract

Subacute bacterial endocarditis (SBE) was invariably a fatal disease in the pre-penicillin era. The availability of sulfonamide antibiotics beginning in the mid-1930s raised hopes that they would be effective in SBE. Unfortunately, except in rare instances, they were not. This paper reviews the clinical experience with sulfonamides in the pre-penicillin period in treating patients with SBE. It presents in detail the case of Pasquale Imperato, who died from the disease at the age of 72 years on 30 November 1942. In so doing, it focuses on the medical management measures then available to treat patients with SBE and on the inevitable course of the illness once it began. Also discussed is the relationship of acute rheumatic fever and its sequela, rheumatic heart disease, to predisposing people to SBE and possible genetic factors. The well-known case of Alfred S. Reinhart, a Harvard Medical School student who died from SBE in 1931 and who kept a detailed chronicle of his disease, is also discussed and contrasted with Pasquale Imperato’s case.

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Titel: The Management of Subacute Bacterial Endocarditis Superimposed on Rheumatic Heart Disease in the Immediate Pre-Penicillin Era: The Case of Pasquale Imperato
verfasst von: Pascal James Imperato
Austin C. Imperato
Gavin H. Imperato
Publikationsdatum: 01.12.2012
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 6/2012
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-012-9623-3

Springer Medizin

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