The clinical, serological and electron microscopic findings in a 47 year old woman with bioprosthetic valve coxiella endocarditis occurring 15 years after streptococcal endocarditis are described. The patient underwent valvular surgery a total of four times to control symptoms and remains well on medical therapy more than two years after her last operation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC500616PMC
http://dx.doi.org/10.1136/jcp.49.8.679DOI Listing

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