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J Athl Train. 1995 June; 30(2): 105–107.
PMCID: PMC1317841

Infective Endocarditis in a Collegiate Wrestler

Cecilia L. May, MD
Cecilia L. May is Physician of Internal Medicine in Layfayette.
Jason P. Hodde, MS, ATC
Jason P. Hodde is associated with the Division of Intercollegiate Athletics at Purdue University at Mackey Arena in West Layfayette, IN 27907.
Stephen F. Badylak, DVM, PhD, MD
Stephen F. Badylak is associated with the Division of Intercollegiate Athletics at Purdue University at Mackey Arena in West Layfayette, IN 27907.


A 21-year-old collegiate wrestler was admitted to the hospital suffering from acute left lower quadrant abdominal pain. Blood cultures taken at the time of admission showed Staphylococcus aureus. The results of a computed tomography scan and a two-dimensional echocardiogram were consistent with a diagnosis of infective endocarditis. Therapy consisted of a 14-day hospitalization, a 28-day course of parenteral antibiotics, and subsequent follow-up visits. He returned to full participation in wrestling after 15 weeks.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bayliss R, Clarke C, Oakley CM, Somerville W, Whitfield AG, Young SE. The microbiology and pathogenesis of infective endocarditis. Br Heart J. 1983 Dec;50(6):513–519. [PMC free article] [PubMed]
  • Belongia EA, Goodman JL, Holland EJ, Andres CW, Homann SR, Mahanti RL, Mizener MW, Erice A, Osterholm MT. An outbreak of herpes gladiatorum at a high-school wrestling camp. N Engl J Med. 1991 Sep 26;325(13):906–910. [PubMed]
  • Buda AJ, Zotz RJ, LeMire MS, Bach DS. Prognostic significance of vegetations detected by two-dimensional echocardiography in infective endocarditis. Am Heart J. 1986 Dec;112(6):1291–1296. [PubMed]
  • Kaye D. Changing pattern of infective endocarditis. Am J Med. 1985 Jun 28;78(6B):157–162. [PubMed]
  • Latham RH. Medical therapy versus early surgical intervention in patients with endocarditis and vegetations seen on echocardiography. South Med J. 1991 Nov;84(11):1347–1351. [PubMed]
  • Lederman MM, Sprague L, Wallis RS, Ellner JJ. Duration of fever during treatment of infective endocarditis. Medicine (Baltimore) 1992 Jan;71(1):52–57. [PubMed]
  • McKinsey DS, Ratts TE, Bisno AL. Underlying cardiac lesions in adults with infective endocarditis. The changing spectrum. Am J Med. 1987 Apr;82(4):681–688. [PubMed]
  • Weinstein L, Schlesinger JJ. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (first of two parts). N Engl J Med. 1974 Oct 17;291(16):832–837. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association