[Bacterial endocarditis and its relationships with obstructive hypertrophic cardiomyopathy and hepatic cirrhosis (author's transl)].

Although in the last few years several cases of bacterial endocarditis have been reported in patients with obstructive hypertrophic cardiomyopathy, such as association is still infrequent and only in rare instances has pathologic examination of the cardiac lesions been possible. In this work a brief comment is made on the different forms of clinical presentation of the disease. The type of endocarditis, the relative incidence of responsible germs, and the prognosis are similar to those of other endocarditis. The clinical and autopsy findings of a female patient with alcoholic liver cirrhosis and symptomatic obstructive hypertrophic cardiomyopathy who developed a bacterial endocarditis of the mitral valve due to Staphylococcus aureus are reported. The patient died of an infected ascites. Some recent reports point to a higher incidence of bacterial endocarditis in cirrhotic patients, and this fact is felt to be an argument in favour of the hematogenous origin of spontaneous bacterial peritonitis.