Bacterial Endocarditis and Urology.

was proved to have systemic lupus erythematosus; no heart murmur was heard. One week later she developed a fever and petechiae; urine and blood cultures grew Streptococcus faecalis (see Table). She was treated with steroids and courses of chloramphenicol, erythromycin, and penicillin. One month later a heart murmur had developed, but after an initial response to treatment she relapsed and died. Case 2.-A man aged 67 was admitted to St. Paul's Hospital in September 1962 for investigation of haematuria ; no heart murmur was heard. At cystoscopy a bladder carcinoma was fulgurated and