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To the Editor: Streptococcus equinus is the predominant streptococcus in the alimentary tract of the horse.¹ Although this organism occasionally has been isolated from the human intestine,² to our knowledge it has not been reported to cause endocarditis in patients without prior cardiac disease.

Report of a Case

A 65-year-old woman was referred to us for evaluation of intermittent fever associated with nonproductive cough and weight loss. She had not undergone recent dental or invasive procedures, and she had no history of cardiac disease or murmur. The patient's body temperature was 38.2°C; her pulse, 98/min; and her blood pressure, 130/160 mm Hg. A grade 3 early diastolic murmur was audible on the left sternal border and scattered dry crackles were heard on lung auscultation. Ophthalmoscopy and examination of the mouth, ears, nose, throat, abdomen, and nervous system were normal. Laboratory tests showed anemia (hemoglobin, 97 g/L), mild leukocytosis (white blood cell count, 11,000 x . . . [Full Text of this Article]

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