[Osler endocarditis of a ventricular septal defect in a 21-month old child].

The authors report a case of streptococcus mitis endocarditis of a ventricular septal defect in a 21 months old girl admitted for necrotic purpura of the lower limbs and a history of general ill health and pyrexia for two months. The severity of this case of endocarditis was illustrated by the importance of the vasculitis, the biological signs of infection (disseminated intravascular coagulation), and the size of the vegetation. The vegetation extended from the tricuspid valve as far as the pulmonary orifice which was partially obstructed, causing signs of right ventricular failure.

[Pulmonary embolism associated with right auricular thrombus. Apropos of 2 cases].

The authors report two cases of serious pulmonary embolism, derived from venous thrombus (inferior vena cava in one case, superficial femoral vein in the other), associated with mobile thrombus of the right auricle, with a very rapidly favourable course after intravenous fibrinolysis. This treatment was extremely effective, allowing rapid haemodynamic improvement and resolution of the thrombus in less than 24 hours. No major haemorrhagic complications or recurrent emboli were observed.

Septicaemia due to Actinobacillus actinomycetemcomitans with endocarditis and spinal epidural abscess.

A case of tricuspid valve endocarditis with spinal epidural abscess caused by Actinobacillus actinomycetemcomitans is reported in a 74-year-old male with an endocardial pacemaker. Despite antibiotic treatment, removal of the endocardial wire was necessary for recovery.