Gonococcal endocarditis with fatal outcome.

SummaryThe clinical and bacteriological observation of a 23-year old male student with gonococcal endocarditis is presented. In spite of antibiotic treatment and of four successive surgical interventions with insertion of artificial aortic and mitral valves, the patient expired as a consequence of haemodynamic problems.The pathogenesis of disseminated gonococcal in fection and the problems involved in bacteriological diagnosis are discussed.